LEILY SANTOS-CARRION
NPI 1164098257
Nurse Practitioner - Family in Miami Beach, FL

Active since May 31, 2021PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4300 ALTON RD, MIAMI BEACH, FL 33140(786) 546-4615 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, May 31, 2021 (2 updates tracked since 2021).

About Leily Santos-carrion NPPES

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

LEILY SANTOS-CARRION (NPI 1164098257) is an individual family provider in Miami Beach, Florida, licensed in Florida (F05210780) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164098257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEILY SANTOS-CARRION
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address4310 Alton RdMiami Beach, FL 33140 · (305) 535-3310
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 31, 2021
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1164098257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · F05210780
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License RN9433181 (FL)
4300 ALTON RD, Miami Beach, FL 33140

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leily Santos-carrion is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709273824
PECOS Enrollment IDI20220420000623
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services67 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140

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 Leily Santos-carrion's NPI number?

The NPI number for Leily Santos-carrion is 1164098257. It was assigned to this individual provider in the NPPES registry on May 31, 2021.

Where is Leily Santos-carrion located?

Leily Santos-carrion practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (786) 546-4615.

What is Leily Santos-carrion's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leily Santos-carrion enrolled in Medicare?

Yes. Leily Santos-carrion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leily Santos-carrion accept?

Health plans from AvMed and UnitedHealthcare list Leily Santos-carrion 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.

Is Leily Santos-carrion affiliated with any hospitals?

According to CMS data, Leily Santos-carrion is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Leily Santos-carrion was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.