Individual provider Active NPI

Pedro Francisco Badillo, MD

  • Cardiovascular Disease Physician
  • Boca Raton, FL
National Provider Identifier
1902808678
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME56665 Issued in FL
Practice address
801 Meadows Rd
Ste 105
Boca Raton, FL 33486-2346
Phone
(561) 392-2021
Fax
(561) 394-4175
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME56665 FL Primary

Addresses

Primary practice location

801 Meadows Rd
Ste 105
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd
Ste 105
Boca Raton, FL 33486-2346
Phone (561) 392-2021

Other identifiers 2

IdentifierTypeStateIssuer
060025661OtherRAILROAD MEDICARE
062154400MedicaidFL

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
I20070302000258 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5092817411 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Associates PA Cardiovascular Disease CurrentSince Jun 1, 1994 Accepting new patients
Legacy Physiatry Group LLC CurrentSince Jan 1, 2018 Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

801 Meadows Rd
Ste 105
Boca Raton, FL 33486
Phone (561) 392-2020

5493 Wiles Rd
Ste 106
Coconut Creek, FL 33073
Phone (321) 214-4530

220 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 392-2021

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

850 Central Pkwy E
Ste 275
Plano, TX 75074

Organizations & group practices 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1902808678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-392-2021",
            "fax_number": "561-394-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-392-2021",
            "fax_number": "561-394-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "PEDRO",
        "middle_name": "FRANCISCO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME56665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060025661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062154400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.