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PEDRO L CARRILLO MD PA
NPI 1093013799
Internal Medicine in Hialeah, FL

Active since March 03, 2011
2140 W 68TH ST, 308, HIALEAH, FL 33016(305) 824-1117(305) 824-1187 Get Directions Write a Review

NPPES record last updated: March 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pedro L Carrillo Md Pa NPPES

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

PEDRO L CARRILLO MD PA (NPI 1093013799) is a healthcare organization registered as an internal medicine in Hialeah, Florida and active in the NPI registry since March 2011. The organization lists Pedro Lucio Carrillo, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1093013799
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePEDRO L CARRILLO MD PA
Location Address2140 W 68TH ST, 308Hialeah, FL 33016-1815
Mailing Address2140 W 68th St, 308Hialeah, FL 33016-1815 · (305) 824-1117 · Fax (305) 824-1187
Phone(305) 824-1117
Fax(305) 824-1187
Organization SubpartNo
Authorized OfficialPedro Lucio CarrilloOwner/physician · (305) 824-1117
Enumeration DateMarch 3, 2011
✔ NPI 1093013799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 52900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2140 W 68TH ST, Hialeah, FL 33016
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro L Carrillo Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pedro L Carrillo MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pedro Carrillo, M.D.
Internal Medicine
NPI 1396731303
7100 W 20TH AVE STE 512
Hialeah, FL 33016
(305) 824-1117
✔ PECOS0.2 mi

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 Pedro L Carrillo MD PA's NPI number?

The NPI number for Pedro L Carrillo MD PA is 1093013799. It was assigned to this organization in the NPPES registry on March 3, 2011.

Where is Pedro L Carrillo MD PA located?

Pedro L Carrillo MD PA is located at 2140 W 68th St 308, Hialeah, FL 33016. The listed phone number is (305) 824-1117.

What is Pedro L Carrillo MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pedro L Carrillo MD PA enrolled in Medicare?

Yes. Pedro L Carrillo MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pedro L Carrillo MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pedro L Carrillo MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pedro L Carrillo MD PA was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.