Ileana Acosta, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN656 Issued in FL

Practice address

401 SW 42ND Ave Ste 300
Coral Gables, FL 33134-1938

Phone

(305) 872-0008

Fax

(305) 928-1112

NPI assigned

Oct 8, 2014

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gables Medical LLCGroup PAC ID 0042693467, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gables Medical LLC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1417683723

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Advanced Pain Therapy

  dba Gables Pain

  • Pain Medicine (Anesthesiology) Physician
  • Coral Gables, FL
  • NPI 1417667833

  Single Specialty

  NPD

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1932502671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 42ND AVE STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341938",
            "telephone_number": "305-872-0008",
            "fax_number": "305-928-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 42ND AVE STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341938",
            "telephone_number": "305-872-0008",
            "fax_number": "305-928-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ILEANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112-154-400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caridad N Acosta Sanchez
• Marie Ellen Acosta-Alvarez, LMHC
• Alessandro Acosta, M.D.
• Anahys Acosta
• Claudia D Acosta, PA-C
• Stephanie Acosta
• Yuelsis Acosta, APRN
• Rullina Acra-Cabral, RD, LD/N
• Action for Kids, LLC
• Active Health Medical Center, Corp

• General Practice Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.