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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GILDA M DE LA CALLE MD
NPI 1174622682
General Practice in Miami, FL

Active since September 21, 2006PECOS EnrolledCLIA Certified · 2 labs
10775 SW 56TH ST, MIAMI, FL 33165(786) 360-4219(786) 360-4217 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Mar 3, 2023 (2 updates tracked since 2023).

About Gilda M De La Calle Md NPPES

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

GILDA M DE LA CALLE MD (NPI 1174622682) is an individual general practice provider in Miami, Florida, licensed in Florida (ME90679) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, holds 2 active CLIA laboratory certificates, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174622682
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGILDA M DE LA CALLECredential: MD
Location Address10775 SW 56TH STMiami, FL 33165-7043
Mailing Address10775 Sw 56th StMiami, FL 33165-7043 · (786) 360-4219 · Fax (786) 360-4217
Phone(786) 360-4219
Fax(786) 360-4217
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1174622682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME90679
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10775 SW 56TH ST, Miami, FL 33165
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1900 W 49th St Ste 410Hialeah, FL 33012-3489 · Phone (305) 823-5730 · Fax (305) 823-5732
Location 2730 SE 8th StHialeah, FL 33010-5660 · Phone (305) 204-3231 · Fax (786) 334-6447

Other Identifiers 2

OtherME90679FL · State Medical License
Medicaid270053100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Gilda M De La Calle Md 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 ID9234199571
PECOS Enrollment IDI20041012001200
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.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 10D2016859

Gilda M De La Calle · Miami, FL
Active · expires Jan 8, 2027
CLIA Number10D2016859
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorGilda De La Calle
Laboratory Phone(786) 360-4219
Laboratory LocationGilda M De La Calle10775 SW 56th St, Miami, FL 33165
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 10D1102087

Gilda M De La Calle · Hialeah, FL
Active · expires Jul 9, 2027
CLIA Number10D1102087
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorGilda De La Calle
Laboratory Phone(305) 823-5730
Laboratory LocationGilda M De La Calle1435 W 49 Place Ste 400 B, Hialeah, FL 33016
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
247 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services32 patients

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%92 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
1 supplier11 claims22 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers47 claims115 services$6.88 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier24 claims24 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers31 claims42 services$1.21 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$7.80 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$5.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MRS. KARINA MARIA LOBAINA DDS
Dentist (General Practice)
10775 SW 56TH ST
MIAMI, FL 33165
Miami-Dade County (786) 360-4219
GILDA MARIA DE LA CALLE MD PA
General Practice
10775 SW 56TH ST
MIAMI, FL 33165
Miami-Dade County (786) 360-4219
DELACALLE MEDICAL CENTER LLC
Clinic/Center
10775 SW 56TH ST
MIAMI, FL 33165
Miami-Dade County (305) 321-5927

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 Gilda De La Calle's NPI number?

The NPI number for Gilda De La Calle is 1174622682. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Gilda De La Calle located?

Gilda De La Calle practices at 10775 SW 56th St, Miami, FL 33165. The listed phone number is (786) 360-4219.

What is Gilda De La Calle's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gilda De La Calle enrolled in Medicare?

Yes. Gilda De La Calle 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.

Does Gilda De La Calle hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gilda De La Calle accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Gilda De La Calle 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 Gilda De La Calle was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.