MR. CARLOS G SANCHEZ MD
NPI 1225069776
Clinic/Center - Primary Care in Miami, FL

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2975 CORAL WAY, MIAMI, FL 33145(305) 456-7424(786) 616-8700 Get Directions Write a Review

NPPES record last updated: April 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2026, Feb 13, 2023 (2 updates tracked since 2023).

About Mr. Carlos G Sanchez Md NPPES

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

MR. CARLOS G SANCHEZ MD (NPI 1225069776) is an individual primary care provider in Miami, Florida, licensed in Florida (ME70084) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1225069776
Entity TypeIndividualMale
Primary Taxonomy261QP2300X
Provider Legal NameMR. CARLOS G SANCHEZCredential: MD
Location Address2975 CORAL WAYMiami, FL 33145-3205
Mailing Address2975 Coral WayMiami, FL 33145-3205 · (305) 456-7424 · Fax (786) 616-8700
Fax(786) 616-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 26, 20262 updates tracked since enumeration
NPPES CertifiedApril 26, 2026
NPI 1225069776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in FL · ME70084
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License ME70084 (FL)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License ME70084 (FL)
2975 CORAL WAY, Miami, FL 33145

Secondary Practice Location 1

Location 12075 SW 27th AveMiami, FL 33145-2540 · Phone (305) 902-1798 · Fax (786) 641-5175

Other Identifiers 2

Medicaid255039300FL
Medicaid024370900FL

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

Mr. Carlos G Sanchez 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 ID2567453418
PECOS Enrollment IDI20040825000335
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 59

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
2,866 services1,231 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
828 services658 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
543 services443 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
270 services241 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
244 services152 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
239 services210 patients

Hospital Affiliations CMS Care Compare 4

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100053
Location651 E 25th StHialeah, FL 33013 · Miami-Dade County
Emergency services

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100183
Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33145 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Surgery
2975 CORAL WAY
MIAMI, FL 33145
Radiology (Diagnostic Radiology)
2975 CORAL WAY
MIAMI, FL 33145
Clinic/Center (Primary Care)
2975 CORAL WAY
MIAMI, FL 33145

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 Carlos Sanchez's NPI number?

The NPI number for Carlos Sanchez is 1225069776. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Carlos Sanchez located?

Carlos Sanchez practices at 2975 Coral Way, Miami, FL 33145. The listed phone number is (305) 456-7424.

What is Carlos Sanchez's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Carlos Sanchez enrolled in Medicare?

Yes. Carlos Sanchez 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 Carlos Sanchez accept?

Health plans from Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Wellpoint list Carlos Sanchez 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 Carlos Sanchez affiliated with any hospitals?

According to CMS data, Carlos Sanchez is affiliated with Steward North Shore Medical Center, Steward Hialeah Hospital, Steward Coral Gables Hospital and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Sanchez was last updated on April 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.