CARLOS A BACALLAO ARNP
NPI 1043736176
Nurse Practitioner - Adult Health in Homestead, FL
About Carlos A Bacallao Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS A BACALLAO ARNP (NPI 1043736176) is an individual adult health provider in Homestead, Florida, licensed in Florida (ARNP9271517) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos A Bacallao Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlos Bacallao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hialeah, FL 33016
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carlos Bacallao's NPI number?
The NPI number for Carlos Bacallao is 1043736176. It was assigned to this individual provider in the NPPES registry on August 21, 2017.
Where is Carlos Bacallao located?
Carlos Bacallao practices at 704 Washington Ave, Homestead, FL 33030. The listed phone number is (305) 250-8758.
What is Carlos Bacallao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Carlos Bacallao enrolled in Medicare?
Yes. Carlos Bacallao is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlos Bacallao's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Bacallao reassigns Medicare benefits to E Valdes Medical Services Corp (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Bacallao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carlos Bacallao was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carlos A Bacallao, ARNP · NPI 1043736176
Adult Health physician in Homestead, Florida. Individual provider, active in the CMS NPPES registry since August 21, 2017.
## Identity
- **NPI:** 1043736176 (Entity type: Individual)
- **Enumerated:** August 21, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** ARNP9271517 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 704 WASHINGTON AVE, Homestead, FL 33030-6012
- **Phone:** (305) 250-8758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** E Valdes Medical Services Corp (NPI 1740751718, Hialeah, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1043736176) · Data from the CMS NPPES public registry.