ENTRUST MEDICAL GROUP INC
NPI 1275363236
General Practice in Miami Lakes, FL
About Entrust Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENTRUST MEDICAL GROUP INC (NPI 1275363236) is a healthcare organization registered as a general practice in Miami Lakes, Florida and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Dianelys San Roman Parrado, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Entrust Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Entrust Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 of Waiver 10D2286344
Entrust Medical Group Inc · Miami Lakes, FLFrequently 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 Entrust Medical Group Inc's NPI number?
The NPI number for Entrust Medical Group Inc is 1275363236. It was assigned to this organization in the NPPES registry on August 5, 2024.
Where is Entrust Medical Group Inc located?
Entrust Medical Group Inc is located at 14411 Commerce Way Ste 300, Miami Lakes, FL 33016. The listed phone number is (786) 803-8687.
What is Entrust Medical Group Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Entrust Medical Group Inc enrolled in Medicare?
Yes. Entrust Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Entrust Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Entrust Medical Group Inc, in General Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Entrust Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2286344) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Entrust Medical Group Inc was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Entrust Medical Group Inc · NPI 1275363236
General Practice organization in Miami Lakes, Florida. Organization record, active in the CMS NPPES registry since August 5, 2024.
## Identity
- **NPI:** 1275363236 (Entity type: Organization)
- **Enumerated:** August 5, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Dianelys San Roman Parrado, PRESIDENT
## Practice location
- **Address:** 14411 COMMERCE WAY STE 300, Miami Lakes, FL 33016-1532
- **Phone:** (786) 803-8687
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), General Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275363236) · Data from the CMS NPPES public registry.