DR. DOUGLAS PORTILLO MD NPI 1205824299

Specialist in Miami, FL

NPI 1205824299 Individual Male Years of Experience 13 Specialist PECOS Enrolled Accepts Medicare Approved Payment

About DOUGLAS PORTILLO

Douglas Portillo is a provider established in Miami, Florida and his medical specialization is specialist with more than 13 years of experience. The NPI number of Douglas Portillo is 1205824299 and was assigned on October 2005. The practitioner's primary taxonomy code is 174400000X with license number ME 84645 (FL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

Douglas Portillo is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Douglas Portillo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Doctors Hospital and West Kendall Baptist Hospital.

NPI

1205824299

Provider NameDR. DOUGLAS PORTILLO MD
Provider Location Address8900 N KENDALL DR MIAMI, FL 33176
Provider Mailing Address8950 SW 57TH AVE PINECREST, FL 33156
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date10-12-2005
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.ME 84645
License StateFL
Taxonomy DescriptionAn 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.

Business Address

DR. DOUGLAS PORTILLO MD
8900 N KENDALL DR
MIAMI, FL
ZIP 33176
Phone: (786) 596-1960
Fax: (305) 666-2252

Get Directions


Mailing Address

DR. DOUGLAS PORTILLO MD
8950 SW 57TH AVE
PINECREST, FL
ZIP 33156
Phone: (305) 322-4116
Fax: (305) 666-2252



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6507857398
PECOS Enrollment IDI20040520000759
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 30Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • 14Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Douglas Portillo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
DOCTORS HOSPITAL5000 UNIVERSITY DR
CORAL GABLES, FL 33146
(305) 666-2111Acute Care Hospitals100296
WEST KENDALL BAPTIST HOSPITAL9555 SW 162 AVE
MIAMI, FL 33196
(786) 467-2011Acute Care Hospitals100314

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
E7585ZMEDICARE ID-TYPE UNSPECIFIED (04)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528052438MS. MELISSA MONROE TURNER R.N.
Individual
Registered Nurse8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1427030584MR. ANTONIO RABASSA MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1235111394MR. MYER H ROSZLER MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1376525436MR. VICTOR J PARRILLA MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1720060882MRS. LYN NADEL MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1356323414MR. BARRY KATZEN MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1265414320MR. SHAUN SAMUELS MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1992787063MR. WARREN JANOWITZ MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1104808260MRS. MEGAN MCANDLESS MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1245212315DR. MARGARET C CHANELES MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1154303220MR. STEPHANE GERARD LAFOSSE-MARIN MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1134101207MR. IRA BRAUN MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1942282017MR. LAWRENCE F ELGARRESTA MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1053393041MR. ALBERTO CONVERS MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1821070301MR. CONSTANTINO S PENA MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1730161217MRS. MARIA P MARTINEZ MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1528040003MR. ROBERT GORDON MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1437131919MR. JONATHAN FIELDS MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1952383440MR. JACK ZIFFER MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960
1689657504MR. JUAN CARLOS DIEZ MD
Individual
Radiology (Diagnostic Radiology)8900 N KENDALL DR
MIAMI, FL 33176
(786) 596-1960

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.