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DR. ROBERTO CARPIO M.D.
NPI 1083879696
Pediatrics in Miami, FL

Active since July 23, 2008PECOS Enrolled
3100 SW 62ND AVE, MIAMI, FL 33155(305) 666-6511 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2019, Jan 27, 2017 (2 updates tracked since 2017).

About Dr. Roberto Carpio M.d. NPPES

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

DR. ROBERTO CARPIO M.D. (NPI 1083879696) is an individual pediatrics provider in Miami, Florida, licensed in Florida (ME102273) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1083879696
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ROBERTO CARPIOCredential: M.D.
Location Address3100 SW 62ND AVEMiami, FL 33155
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 666-6511
Phone(305) 666-6511
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1083879696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME102273
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3100 SW 62ND AVE, Miami, FL 33155
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Other Names 1

Other Name (5)Dr. Roberto Carpio Fonseca M.d.

Secondary Practice Location 1

Location 113707 SW 152nd StMiami, FL 33177-1106 · Phone (305) 585-9200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roberto Carpio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Roberto Carpio reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care Physicians Of West Kendall LLC
7.7 mi
General Practice
13001 SW 88TH ST
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1508989757 (786) 596-3800
Urgent Care Physicians Of Westchester LLC
8.1 mi
General Practice
8840 BIRD ROAD, SUITE #100
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1992928162 (786) 596-3890
Urgent Care Physicians Of Palmetto Bay LLC
8.2 mi
General Practice
8950 SW 152ND ST STE 103
Palmetto Bay, FL 33157
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1740403914 (786) 596-3840
Urgent Care Physicians Of Tamiami LLC
8.6 mi
General Practice
14660 SW 8TH ST STE 100
Miami, FL 33184
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1639381965 (786) 596-4100
Urgent Care Physicians Of Country Walk LLC
11 mi
General Practice
13500 SW 152ND ST
Miami, FL 33177
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1689838849 (786) 596-4300
Criticare Clinics Inc
12 mi
Emergency Medicine
14701 NW 77TH AVE
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 163 clinicians in this Medicare group
NPI 1508871948 (305) 665-4614

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 33155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
58%2,998 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICE NEIL PA-C
Physician Assistant (Medical)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 666-6511
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Pediatrics (Pediatric Cardiology)
3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155
Miami-Dade County (786) 624-5876
LUCILA SERVITJE AZCARRAGA MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. YELENA SLOBODSCOY IGNATOV BSC, MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
SIVANESAN SIVAGNANA GANESAN
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (786) 624-2855
HIMANSHU MEENA
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. TERESITA FOX M.D.
Pediatrics
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (561) 624-9188
MRS. ERIN HERNANDEZ CPNP
Nurse Practitioner (Pediatrics)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 662-8357

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 Roberto Carpio's NPI number?

The NPI number for Roberto Carpio is 1083879696. It was assigned to this individual provider in the NPPES registry on July 23, 2008. The provider is also known as Dr. Roberto Carpio Fonseca M.D..

Where is Roberto Carpio located?

Roberto Carpio practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 666-6511.

What is Roberto Carpio's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roberto Carpio enrolled in Medicare?

Yes. Roberto Carpio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Roberto Carpio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Carpio reassigns Medicare benefits to 6 organizations: Urgent Care Physicians Of West Kendall LLC (Miami, FL), Urgent Care Physicians Of Westchester LLC (Miami, FL), Urgent Care Physicians Of Palmetto Bay LLC (Palmetto Bay, FL), Urgent Care Physicians Of Tamiami LLC (Miami, FL), Urgent Care Physicians Of Country Walk LLC (Miami, FL) and 1 more organization, listed in the Medicare section above. Each 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 Roberto Carpio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Carpio accept?

Health plans from 22 Health, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Roberto Carpio 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 Roberto Carpio was last updated on June 11, 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.