Active NPI
Eduardo Icaza, MD
- Pain Medicine (Anesthesiology) Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME157395
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8950 N Kendall Dr
410W
Miami, FL 33176-2127
Phone (786) 596-2225
Hospital & facility affiliations
- Baptist Hospital of Miami
- South Miami Hospital
- Doctors Hospital
- West Kendall Baptist Hospital
- Mariners Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME157395 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Physicians LLC | Current | 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
- 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.
-
- Specialist
- Miami, FL
- NPI 1891893343
-
- Hematology & Oncology Physician
- Miami, FL
- NPI 1679978118
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1528042884
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- Critical Access Hospital
- Tavernier, FL
- NPI 1518941806
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
-
- General Acute Care Hospital
- Miami, FL
- NPI 1417279936
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.