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PEDRO LUCIO CARRILLO JR. M.D.
NPI 1396731303
Internal Medicine in Hialeah, FL

Active since September 26, 2005PECOS Enrolled
7100 W 20TH AVE STE 512, HIALEAH, FL 33016(305) 824-1117(305) 824-1187 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pedro Lucio Carrillo Jr. M.d. NPPES

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

PEDRO LUCIO CARRILLO JR. M.D. (NPI 1396731303) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (52900) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Coral Gables.

NPPES Registry Identity

NPI1396731303
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePEDRO LUCIO CARRILLO JR.Credential: M.D.
Location Address7100 W 20TH AVE STE 512Hialeah, FL 33016-1824
Mailing Address7100 W 20th Ave Ste 512Hialeah, FL 33016-1824 · (305) 824-1117 · Fax (305) 824-1187
Phone(305) 824-1117
Fax(305) 824-1187
Sole ProprietorYes
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1396731303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 52900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7100 W 20TH AVE STE 512, Hialeah, FL 33016
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Secondary Practice Location 1

Location 1221 SW 42nd Ave Fl 2Coral Gables, FL 33134-1751 · Phone (305) 541-1606 · Fax (305) 649-1129

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro Lucio Carrillo Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pedro Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pedro L Carrillo MD PA
0.2 mi
Internal Medicine
2140 W 68TH ST, 308
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
NPI 1093013799 (305) 824-1117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims39 services$5.83 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORTON S CORIN MD PA
Psychiatry & Neurology (Neurology)
7100 W 20TH AVE STE 512
HIALEAH, FL 33016
Miami-Dade County (305) 821-5220

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 Pedro Carrillo's NPI number?

The NPI number for Pedro Carrillo is 1396731303. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Pedro Carrillo located?

Pedro Carrillo practices at 7100 W 20th Ave Ste 512, Hialeah, FL 33016. The listed phone number is (305) 824-1117.

What is Pedro Carrillo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pedro Carrillo enrolled in Medicare?

Yes. Pedro Carrillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pedro Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Carrillo reassigns Medicare benefits to Pedro L Carrillo MD PA (Hialeah, FL). The 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 Pedro Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Carrillo was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.