Individual provider Active NPI

Julius A Carillo, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
National Provider Identifier
1881835650
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME135840 Issued in FL
Practice address
1801 NW 9TH Ave Ste 600
Miami, FL 33136-1101
Phone
(786) 466-8484
NPI assigned
Mar 9, 2009
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME135840 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 288312 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME135840 FL Primary

Addresses

Primary practice location

1801 NW 9TH Ave Ste 600
Miami, FL 33136-1101

Mailing address

88 SW 7TH St Apt 3709
Miami, FL 33130-3775
Phone (917) 605-4465

Other practice location 1

530 1st Ave Ste 9V
New York, NY 10016-6402
Phone (212) 263-0690

Other practice location 2

1 Baylor Plz
DeBakey Department of Surgery
Houston, TX 77030-3411
Phone (713) 798-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908002092 NY Practitioner - Cardiac Surgery 3678846896 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135840FLMDSurgery Physician
288312NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Surgery CurrentSince Jul 14, 2017 Accepting new patients
New York University CurrentSince Jun 1, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jul 14, 2017 Accepting new patients
New York University Surgery CurrentSince Jun 1, 2019 Accepting new patients
Public Health Trust of Dade County Florida PastSince Mar 13, 2022 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1575 Blondell Ave
Ste 125
Bronx, NY 10461
Phone (718) 405-8238

530 1st Ave
Ste 9V
New York, NY 10016
Phone (212) 263-5989

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jcarillo941638@nychhc.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1881835650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 SW 7TH ST APT 3709",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303775",
            "telephone_number": "917-605-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE STE 600",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "786-466-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 1st Ave Ste 9V",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166402",
            "country_code": "US",
            "telephone_number": "212-263-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz",
            "address_2": "DeBakey Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-6078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARILLO",
        "first_name": "JULIUS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME135840",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "288312",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME135840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.