Individual provider Active NPI

Carlos A Vidal, M.D.

  • Hematology & Oncology Physician
  • Miami, FL
National Provider Identifier
1891783932
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0074029 Issued in FL
Practice address
1321 NW 14TH St
Ste. 601
Miami, FL 33125-1673
Phone
(305) 325-1700
Fax
(305) 325-9603
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0074029 FL Primary

Addresses

Primary practice location

1321 NW 14TH St
Ste. 601
Miami, FL 33125-1673

Mailing address

1321 NW 14TH St
Ste. 601
Miami, FL 33125-1673
Phone (305) 325-1700

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
I20050706000150 FL Practitioner - Hematology/Oncology 3476599085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

78 SW 13TH Ave
Suite 200
Miami, FL 33135-2483
Phone (305) 642-6966

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.66
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0074029FLMDHematology & Oncology Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Oncology and Radiation Associates PA Hematology & Oncology CurrentSince Oct 1, 2012 Accepting new patients
21St Century Oncology LLC CurrentSince Feb 3, 2025 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Feb 3, 2025 Accepting new patients
Genesiscare USA of Florida LLC Hematology & Oncology Current Accepting new patients

Locations

8881 NW 18th Ter
Doral, FL 33172
Phone (305) 704-3910

8881 NW 13th Ter
Doral, FL 33172
Phone (305) 704-3910

3659 S Miami Ave
Ste 2001
Miami, FL 33133
Phone (305) 854-8801

1321 NW 14th St
Ste 601
Miami, FL 33125
Phone (305) 325-1700

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

78 SW 13th Ave
Ste 200
Miami, FL 33135
Phone (305) 642-6966

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cvidal51027@direct.med.miami.edu
  • Direct secure messaging: carlos.vidal@ora.ikm.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1891783932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "STE. 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-325-1700",
            "fax_number": "305-325-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST",
            "address_2": "STE. 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251673",
            "telephone_number": "305-325-1700",
            "fax_number": "305-325-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "CARLOS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0074029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.