Daniel Carvallo, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME141630 Issued in FL

Practice address

1005 Joe Dimaggio Dr
Hollywood, FL 33021-5402

Phone

(954) 265-5324

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Blue Cloud Anesthesia, LLC

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1376287730

  Anesthesiology, FL

  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Anesthesiology, FL

  Medicare reassignment NPD
• Blue Cloud Anesthesia, LLC

  • Anesthesiology Physician
  • Palm Springs, FL
  • NPI 1053014746

  Anesthesiology

  NPD
• Blue Cloud Anesthesia, LLC

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1124721816

  Anesthesiology

  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1184607228

  Anesthesiology

  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460

  Anesthesiology

  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1891745154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224115",
            "telephone_number": "954-939-5305",
            "fax_number": "954-618-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 JOE DIMAGGIO DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215402",
            "telephone_number": "954-265-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Childrens Ln",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071910",
            "country_code": "US",
            "telephone_number": "757-668-7320",
            "fax_number": "757-668-9735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALLO",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101249270",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME141630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200525100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddy Herbert Carrillo, MD
• Brittany Cobb Carson, ARNP
• Clementina Carswell, RN
• Stephanie Rocio Carvajal Jimenez, APRN
• Jacqueline Carvajal
• Casa Medical Group LLC
• Casa Sprout LLC
• Josephine Casado, PT
• Martina Casali
• Mari T Casares-Thorndike, PH.D.

• All providers in Hollywood, FL
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.