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MR. MANUEL DEJESUS BACALLAO MD
NPI 1386603462
Family Medicine in Miami, FL

Active since March 20, 2006
8525 SW 92 STREET, SUITE B 4, MIAMI, FL 33156(305) 279-7446(305) 598-8753 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Manuel Dejesus Bacallao Md NPPES

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

MR. MANUEL DEJESUS BACALLAO MD (NPI 1386603462) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME38837) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1386603462
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MANUEL DEJESUS BACALLAOCredential: MD
Location Address8525 SW 92 STREET, SUITE B 4Miami, FL 33156-7374
Mailing Address8525 Sw 92 Street, Suite B 4Miami, FL 33156-7374 · (305) 279-7446 · Fax (305) 598-8753
Phone(305) 279-7446
Fax(305) 598-8753
Sole ProprietorYes
Enumeration DateMarch 20, 2006
Last NPPES UpdateAugust 3, 2010
✔ NPI 1386603462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME38837
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8525 SW 92 STREET, Miami, FL 33156
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Other Identifiers 2

Medicare ID-Type Unspecified96980FL
Medicare UPIND77138

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…
75%24 patients4/55-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.

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. DESALY MONTILLA
Family Medicine
8525 SW 92 STREET, SUITE B 4
MIAMI, FL 33156
Miami-Dade County (305) 279-7446
ANXIETY & STRESS MANAGEMENT CENTER
Psychologist
8525 SW 92 STREET, STE A3
MIAMI, FL 33156
Miami-Dade County (305) 279-1715
MRS. SONIA ELAINE GALLIMORE LMFT
Marriage & Family Therapist
8525 SW 92 STREET, A3
MIAMI, FL 33156
Miami-Dade County (305) 305-1792

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 Manuel Bacallao's NPI number?

The NPI number for Manuel Bacallao is 1386603462. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Manuel Bacallao located?

Manuel Bacallao practices at 8525 SW 92 Street Suite B 4, Miami, FL 33156. The listed phone number is (305) 279-7446.

What is Manuel Bacallao's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Manuel Bacallao was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.