LUISA LEMOS
NPI 1013616630
Student in an Organized Health Care Education/Training Program in Miami Shores, FL

NPI Status: Active since March 02, 2023

Contact Information

11300 NE 2ND AVE
MIAMI SHORES, FL
ZIP 33161
Phone: (305) 899-3000

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  • Individual
  • Female
  • Years of Experience 1
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About LUISA LEMOS

This page provides the complete NPI Profile along with additional information for Luisa Lemos, a primary care provider established in Miami Shores, Florida with a medical specialization in Student In An Organized Health Care Education/training Program and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1013616630 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1013616630
Provider Name
LUISA LEMOS
Gender
Female
Entity Type
Individual
Location Address
11300 NE 2ND AVE MIAMI SHORES, FL 33161
Location Phone
(305) 899-3000
Mailing Address
11300 NE 2ND AVE MIAMI SHORES, FL 33161
Mailing Phone
(305) 899-3541
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
Yes
Enumeration Date
03-02-2023
Last Update Date
07-24-2025
Code Navigator

A primary care provider (PCP) like Luisa Lemos sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 1850 Bluegrass Ave
    Louisville, KY 40215
    (502) 852-5851

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WC0200XNursing Service Providers

Registered Nurse
Critical Care Medicine

9481989 (FL)
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

4041329 (KY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Luisa Lemos is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5496253643

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250807003398

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Luisa Lemos is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JEWISH HOSPITAL & ST MARY'S HEALTHCARE200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
(502) 587-4011Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013616630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 6 → 12 → 3 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 1 + 2 + 1 + 1 + 2 + 6 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1013616630.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Social Worker (Clinical)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Physician Assistant (Medical)
11300 NE 2ND AVE
MIAMI, FL 33161
Podiatrist (Foot & Ankle Surgery)
11300 NE 2ND AVE
MIAMI, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Nurse Practitioner (Family)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Nurse Practitioner (Acute Care)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Social Worker (Clinical)
11300 NE 2ND AVE
MIAMI SHORES, FL 33161
Specialist/Technologist (Athletic Trainer)
11300 NE 2ND AVE
MIAMI, FL 33161
Student in an Organized Health Care Education/Training Program
11300 NE 2ND AVE
MIAMI SHORES, FL 33161

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013616630, enumerated as an "individual" on March 02, 2023.

The provider is located at 11300 NE 2ND AVE MIAMI SHORES, FL 33161 and the phone number is (305) 899-3000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Luisa Lemos is affiliated with: JEWISH HOSPITAL & ST MARY'S HEALTHCARE.