Individual provider Active NPI

Luis Marcelo Carcache, MD

  • Psychiatry Physician
  • Hialeah, FL
National Provider Identifier
1881866796
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME110603 Issued in FL
Practice address
4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone
(305) 424-0300
NPI assigned
Mar 31, 2008
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME110603 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME110603 FL

Addresses

Primary practice location

4175 W 20TH Ave
Hialeah, FL 33012-5874

Mailing address

3300 SW 192ND Ave
Miramar, FL 33029-5822
Phone (305) 310-4312

Other identifiers 1

IdentifierTypeStateIssuer
008601600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130801000696 FL Practitioner - Psychiatry 1557502655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Health Network, Inc.Group PAC ID 9931177334, 49 clinicians

Practice addresses (Care Compare)

1645 -A SW 107TH Ave
Miami, FL 33165-7344
Phone (786) 209-2140

4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 424-3120

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

Merit-based Incentive Payment System (MIPS)

Final score
95.44 of 100Reported as group
Quality
88.27
Improvement activities
40
Cost
76.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network, Inc. CurrentSince Mar 29, 2025 Accepting new patients
Florida International University Board of Trustees Psychiatry CurrentSince Jul 1, 2013 Accepting new patients
Citrus Health Network Inc CurrentSince Mar 29, 2025 Accepting new patients

Locations

1600 S Andrews Ave
#1090
Ft Lauderdale, FL 33316
Phone (954) 523-2727

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

11200 SW 8th St
#2
Miami, FL 33199
Phone (305) 348-0570

800 SW 108th Ave
#100
Miami, FL 33174
Phone (305) 348-0254

800 SW 108th Ave
Ste 100
Miami, FL 33174
Phone (305) 348-3627

Organizations & group practices 3

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1881866796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 SW 192ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295822",
            "telephone_number": "305-310-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125874",
            "telephone_number": "305-424-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCACHE",
        "first_name": "LUIS",
        "middle_name": "MARCELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME110603",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME110603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008601600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.