NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
NPI 1063966901
Radiology - Pediatric Radiology in Miami, FL

Active since August 09, 2016
3100 SW 62ND AVE, 1ST FLOOR, SUITE B- DEPARTMENT OF RADIOLOGY, MIAMI, FL 33155(786) 624-5876(786) 624-2688 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Nov 6, 2024, Mar 3, 2021 and 4 more (7 updates tracked since 2016).

About Nicklaus Children's Pediatric Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC (NPI 1063966901), doing business as Nicklaus Children's Pediatric Specialists - Radiology, is a healthcare organization registered as a pediatric radiology in Miami, Florida and active in the NPI registry since August 2016. The organization lists Marcos Mestre, Svp, as its authorized official.

NPPES Registry Identity

NPI1063966901
Entity TypeOrganization
Primary Taxonomy2085P0229X
Legal Business NameNICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Location Address3100 SW 62ND AVE, 1ST FLOOR, SUITE B- DEPARTMENT OF RADIOLOGYMiami, FL 33155
Mailing AddressPo Box 947095Atlanta, GA 30394-7095
Fax(786) 624-2688
Organization SubpartNo
Authorized OfficialMarcos MestreSvp · (305) 666-6511
Enumeration DateAugust 9, 2016
Last NPPES UpdateApril 9, 20257 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1063966901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
3100 SW 62ND AVE, Miami, FL 33155

Other Names 1

Doing Business AsNicklaus Children's Pediatric Specialists - Radiology

Other Identifiers 1

Medicaid013515214FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicklaus Children's Pediatric Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

85

Medicare enrollment records show 85 clinicians reassign Medicare billing to Nicklaus Children's Pediatric Specialists, LLC, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 69 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Anesthesiology9
Pediatric Medicine9
Cardiovascular Disease (Cardiology)8
Diagnostic Radiology8
Critical Care (Intensivists)6
Gastroenterology6
Neurosurgery5
Hematology/Oncology4
15 other specialties30

Nearest to this location (20)

See all 85
Diagnostic Radiology
NPI 1881616308
3100 SW 62ND AVE RADIOLOGY DEPARTMENT
Miami, FL 33155
(305) 662-8293
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1356752687
3100 SW 62ND AVE
Miami, FL 33155
(800) 432-6837
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1790051266
3100 SW 62ND AVE
Miami, FL 33155
(305) 662-8386
✔ PECOSSame address
Cardiac Surgery
NPI 1598852931
3100 SW 62ND AVE CARDIOVASCULAR DEPT.
Miami, FL 33155
(305) 663-8401
✔ PECOSSame address
Nurse Practitioner
NPI 1437845989
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOSSame address
Diagnostic Radiology
NPI 1194745703
3100 SW 62ND AVE RADIOLOGY DEPARTMENT
Miami, FL 33155
(305) 662-8293
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1528350279
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1164609970
3100 SW 62ND AVE PEDIATRIC CARDIOLOGY
Miami, FL 33155
(305) 662-8301
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1902284557
3100 SW 62ND AVE
Miami, FL 33155
(305) 278-5951
✔ PECOSSame address
Anesthesiology
NPI 1124292842
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOSSame address
Pediatric Medicine
NPI 1801882899
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOSSame address
Otolaryngology
NPI 1114248440
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOSSame address
Hospice/Palliative Care
NPI 1689296386
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1518428416
3100 SW 62ND AVENUE
Miami, FL 33155
(305) 662-2639
✔ PECOSSame address
Hospitalist
NPI 1861989618
3100 SW 62ND AVE
Miami, FL 33155
(305) 669-5873
✔ PECOSSame address
Medical Genetics and Genomics
NPI 1447785530
3100 SW 62ND AVE
Miami, FL 33155
(305) 662-8357
✔ PECOSSame address
Nephrology
NPI 1699235754
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1699758813
3100 SW 62ND AVE
Miami, FL 33155
(305) 662-8272
✔ PECOSSame address
Orthopedic Surgery
NPI 1467694604
3100 SW 62ND AVE
Miami, FL 33155
(305) 662-8366
✔ PECOSSame address
Gastroenterology
NPI 1447237862
3100 SW 62ND AVE
Miami, FL 33155
(305) 666-6511
✔ PECOS✔ Accepts MedicareSame address
See all 85 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicklaus Children's Pediatric Specialists, LLC's NPI number?

The NPI number for Nicklaus Children's Pediatric Specialists, LLC is 1063966901. It was assigned to this organization in the NPPES registry on August 9, 2016. The provider is doing business as Nicklaus Children's Pediatric Specialists - Radiology.

Where is Nicklaus Children's Pediatric Specialists, LLC located?

Nicklaus Children's Pediatric Specialists, LLC is located at 3100 SW 62nd Ave 1st Floor, Suite B- Department Of Radiology, Miami, FL 33155. The listed phone number is (786) 624-5876.

What is Nicklaus Children's Pediatric Specialists, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Nicklaus Children's Pediatric Specialists, LLC enrolled in Medicare?

Yes. Nicklaus Children's Pediatric Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicklaus Children's Pediatric Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 23 Medicare specialties reassign their Medicare billing to Nicklaus Children's Pediatric Specialists, LLC. A 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 the clinician's services. The largest specialties are Anesthesiology (9), Pediatric Medicine (9) and Cardiovascular Disease (Cardiology) (8). Of these, 55 practice at this address and 69 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Nicklaus Children's Pediatric Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Nicklaus Children's Pediatric Specialists, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicklaus Children's Pediatric Specialists, LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.