NPIMap

Individual provider Active NPI

Marie Dinah Decastro, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • North Miami Beach, FL
National Provider Identifier
1922397132
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
ME119616 Issued in FL
Practice address
16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169
Phone
(877) 868-4827
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME119616 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME119616 FL Primary

Addresses

Primary practice location

16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169

Mailing address

16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169-5501
Phone (877) 868-4827

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS Solutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715001372 FL Practitioner - Family PracticePractitioner - Hospice/Palliative Care 9830402114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Act Hospitalist LLC.Group PAC ID 0244649374, 9 clinicians

Practice addresses (Care Compare)

160 NW 170TH St
Jackson North Medical Center
North Miami Beach, FL 33169-5576
Phone (305) 654-5037

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Jackson Health System Hospital, Miami, FL, CCN 100022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119616FLMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida, Inc CurrentSince Apr 17, 2017 Accepting new patients
Act Hospitalist LLC CurrentSince Sep 1, 2024 Accepting new patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Sep 18, 2018 Accepting new patients
Community Health of South Florida Inc CurrentSince Apr 17, 2017 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 437-3397

3720 Executive Way
Miramar, FL 33025

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

16800 NW 2nd Ave
Ste 400
North Miami Beach, FL 33169
Phone (305) 654-3718

255 E 5th St
Ste 1050
Cincinnati, OH 45202

Interoperability endpoints

  • Direct secure messaging: referral@vitas.direct.kno2fy.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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1922397132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "877-868-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "877-868-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "MARIE",
        "middle_name": "DINAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119616",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME119616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS Solutions Inc",
            "address_1": "3720 Executive Way",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330253946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.