Individual provider Active NPI

Eduardo Icaza, MD

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
National Provider Identifier
1891054573
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME157395 Issued in FL
Practice address
8950 N Kendall Dr Ste 410W
Miami, FL 33176-2127
Phone
(786) 871-6800
NPI assigned
May 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME157395 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr Ste 410W
Miami, FL 33176-2127

Mailing address

PO Box 198054
Atlanta, GA 30384-8054

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EDU27711@cerner.directbaptisthealth.com

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
I20220728003188 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 1951618198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

8950 N Kendall Dr
410W
Miami, FL 33176-2127
Phone (786) 596-2225

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157395FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Aug 29, 2022 Accepting new patients
Baptist Health Medical Group Oncology LLC Past Accepting new patients

Locations

8950 N Kendall Dr
Ste 104W
Miami, FL 33176
Phone (305) 669-4455

8950 N Kendall Dr
Ste 410W
Miami, FL 33176
Phone (786) 596-2225

8950 N Kendall Dr
#410W
Miami, FL 33176
Phone (786) 596-2225

8950 N Kendall Dr
#407W
Miami, FL 33176
Phone (305) 271-6159

8950 N Kendall Dr
Ste 407W
Miami, FL 33176
Phone (305) 271-6159

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: edu27711@cerner.directbaptisthealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1891054573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 410W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762127",
            "telephone_number": "786-871-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICAZA",
        "first_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME157395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EDU27711@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8950 N Kendall Dr Ste 410W",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.