Otto L Secada, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0060146 Issued in FL

Practice address

7150 W 20TH Ave Ste 209
Hialeah, FL 33016-5531

Phone

(305) 828-5677

Fax

(305) 828-9196

NPI assigned

Oct 3, 2005

Sex

Male

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

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Otto L Secada Mdpa

  • Geriatric Medicine (Internal Medicine) Physician
  • Hialeah, FL
  • NPI 1881983658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1942297205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "telephone_number": "305-828-5677",
            "fax_number": "305-828-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "telephone_number": "305-828-5677",
            "fax_number": "305-828-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECADA",
        "first_name": "OTTO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0060146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057633600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Schneider, DMD
• Michael Schneider
• Samantha Schwartzbaum
• Sebastian a Padron MD,PA
• Margarete Secada, APRN
• Second Chance Case Management Inc
• Second Mile Companion Services LLC
• Secured Kids Care LLC
• Secured One Transport LLC
• Yelitza Segovia Segovia

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.