BLUE DIAMOND MEDICAL CENTER CORP.
NPI 1245967587
Nurse Practitioner - Family in Miami Lakes, FL
About Blue Diamond Medical Center Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE DIAMOND MEDICAL CENTER CORP. (NPI 1245967587) is a healthcare organization registered as a family in Miami Lakes, Florida and active in the NPI registry since August 2022. The organization lists Marcos Jose Carvajal, Aprn-fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
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)
Blue Diamond Medical Center Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Blue Diamond Medical Center Corp., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Blue Diamond Medical Center Corp.'s NPI number?
The NPI number for Blue Diamond Medical Center Corp. is 1245967587. It was assigned to this organization in the NPPES registry on August 5, 2022.
Where is Blue Diamond Medical Center Corp. located?
Blue Diamond Medical Center Corp. is located at 16430 NW 59th Ave, Miami Lakes, FL 33014. The listed phone number is (305) 456-0148.
What is Blue Diamond Medical Center Corp.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Blue Diamond Medical Center Corp. enrolled in Medicare?
Yes. Blue Diamond Medical Center Corp. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Diamond Medical Center Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Blue Diamond Medical Center Corp.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Blue Diamond Medical Center Corp. accept?
Health plans from Molina Healthcare list Blue Diamond Medical Center Corp. 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 Blue Diamond Medical Center Corp. was last updated on April 15, 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.
# Blue Diamond Medical Center Corp. · NPI 1245967587
Family organization in Miami Lakes, Florida. Organization record, active in the CMS NPPES registry since August 5, 2022.
## Identity
- **NPI:** 1245967587 (Entity type: Organization)
- **Enumerated:** August 5, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Marcos Carvajal, APRN-FNP
## Practice location
- **Address:** 16430 NW 59TH AVE, Miami Lakes, FL 33014-5605
- **Phone:** (305) 456-0148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245967587) · Data from the CMS NPPES public registry.