Individual provider Active NPI

Cesar Carralero, DO

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1922087014
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0008282 Issued in FL
Practice address
1600 S Andrews Ave
Emergency Department
Ft Lauderdale, FL 33316-2510
Phone
(954) 344-4400
Fax
(919) 425-0478
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0008282 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Emergency Department
Ft Lauderdale, FL 33316-2510

Mailing address

3501 SW 147TH Ave
Miramar, FL 33027-3742
Phone (954) 663-2700

Other identifiers 2

IdentifierTypeStateIssuer
78383OtherFLBCBS
266713400MedicaidFL

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
I20040910000862 FL Practitioner - Emergency Medicine 0446227425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Emergency Medicine of Broward LLCGroup PAC ID 5991793002, 69 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0008282FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Dec 1, 2005 Accepting new patients

Locations

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

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1922087014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SW 147TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273742",
            "telephone_number": "954-663-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-344-4400",
            "fax_number": "919-425-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRALERO",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0008282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "78383",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266713400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.