A MED PRACTICE LLC
NPI 1114387321
Specialist in Doral, FL

Active since March 01, 2016CLIA 10D2106098 · Waiver
4055 NW 97TH AVE STE 100, DORAL, FL 33178(786) 801-1168(786) 801-1176 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 8, 2023, Mar 14, 2016, Mar 1, 2016 (3 updates tracked since 2016).

About A Med Practice Llc NPPES

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

A MED PRACTICE LLC (NPI 1114387321) is a healthcare organization registered as a specialist in Doral, Florida and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Mercedes Pereira, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114387321
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameA MED PRACTICE LLC
Location Address4055 NW 97TH AVE STE 100Doral, FL 33178-2911
Mailing Address4055 Nw 97th Ave Ste 100Doral, FL 33178-2911 · (786) 801-1168 · Fax (786) 801-1176
Fax(786) 801-1176
Organization SubpartNo
Authorized OfficialMercedes PereiraOffice Manager · (786) 801-1168
Enumeration DateMarch 1, 2016
Last NPPES UpdateMarch 8, 20233 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1114387321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4055 NW 97TH AVE STE 100, Doral, FL 33178

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

A Med Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to A Med Practice LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1922079573
4055 NW 97TH AVE STE 100
Doral, FL 33178
(786) 801-1168
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1407389380
15173 SW 16TH LN
Miami, FL 33185
(786) 473-6332
✔ PECOS✔ Accepts Medicare6.8 mi
Endocrinology
NPI 1194858746
12177 PEMBROKE RD
Pembroke Pines, FL 33025
(954) 436-0555
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1275309023
2505 FAIRWAYS DR
Homestead, FL 33035
(305) 934-7338
✔ PECOS26 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2106098

A Med Practice LLC · Doral, FL
Active · expires Dec 9, 2027
CLIA Number10D2106098
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorEmilio Castaneda
Laboratory Phone(786) 801-1168
Laboratory LocationA Med Practice LLC4055 NW 97th Avenue, Suite 101, Doral, FL 33178
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 A Med Practice LLC's NPI number?

The NPI number for A Med Practice LLC is 1114387321. It was assigned to this organization in the NPPES registry on March 1, 2016.

Where is A Med Practice LLC located?

A Med Practice LLC is located at 4055 NW 97th Ave Ste 100, Doral, FL 33178. The listed phone number is (786) 801-1168.

What is A Med Practice LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is A Med Practice LLC enrolled in Medicare?

Yes. A Med Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Med Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to A Med Practice LLC, in Endocrinology, Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does A Med Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2106098) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does A Med Practice LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed list A Med Practice 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 A Med Practice LLC was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.