Individual provider Active NPI

Justo Carlos Felipe, M.D

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1992878144
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME65902 Issued in FL
Practice address
4526 Palm Ave
Hialeah, FL 33012-4034
Phone
(786) 600-7560
Fax
(786) 648-5503
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME65902 FL
General Practice Physician 208D00000X ME65902 FL Primary

Addresses

Primary practice location

4526 Palm Ave
Hialeah, FL 33012-4034

Mailing address

4526 Palm Ave
Hialeah, FL 33012-4034
Phone (786) 600-7560

Other practice location 1

875 E 41st St
Hialeah, FL 33013-2453
Phone (786) 600-7560

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
I20250205002112 FL Practitioner - General Practice 7618072117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erick Unlimited II, LLCGroup PAC ID 3971989922, 4 clinicians

Practice addresses (Care Compare)

875 E 41St St
Hialeah, FL 33013-2453
Phone (786) 447-2391

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erick Unlimited II, LLC CurrentSince Feb 1, 2025 Accepting new patients
Univida Specialty, LLC PastSince Feb 1, 2025 Accepting new patients
Justo C Felipe MD.PA. Ophthalmology Past Accepting new patients

Locations

875 E 41st St
Hialeah, FL 33013
Phone (786) 447-2391

4526 Palm Ave
Hialeah, FL 33012
Phone (786) 600-7560

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1992878144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124034",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124034",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330132453",
            "country_code": "US",
            "telephone_number": "786-600-7560",
            "fax_number": "786-648-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIPE",
        "first_name": "JUSTO",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME65902",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME65902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.