Individual provider Active NPI

Patricio E Lau, M.D.

  • Pediatric Surgery Physician
  • Miami, FL
National Provider Identifier
1902244197
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME145467 Issued in FL
Practice address
3200 SW 60TH CT Ste 201
Miami, FL 33155-4070
Phone
(305) 662-8320
Fax
(305) 665-2467
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10046909 TX
Pediatric Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0120X ME145467 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 201
Miami, FL 33155-4070

Mailing address

3200 SW 60TH CT Ste 201
Miami, FL 33155-4070
Phone (305) 662-8320

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
I20230224000410 FL Practitioner - General Surgery 6305219254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Florida International Univ, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Associates in Pediatric Surgery PAGroup PAC ID 6103844303, 4 clinicians

Practice addresses (Care Compare)

3200 SW 60TH CT
Suite 201
Miami, FL 33155-4070
Phone (305) 662-8320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10046909TXMDSurgery Physician
ME145467FLMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Associates in Pediatric Surgery PA Single Specialty CurrentSince Nov 16, 2022 Accepting new patients
Nicklaus Children'S Pediatric Specialists, LLC Single Specialty PastSince Jul 31, 2022 Accepting new patients

Locations

3200 SW 60th Ct
Ste 201
Miami, FL 33155
Phone (305) 662-8220

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d02172d-d861-4f2f-87b5-3b1c5ad61f32/
  • Direct secure messaging: patricio.lau.1@240.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1902244197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554070",
            "telephone_number": "305-662-8320",
            "fax_number": "305-665-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554070",
            "telephone_number": "305-662-8320",
            "fax_number": "305-665-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "PATRICIO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10046909",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME145467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.