DR. JEAN CARLO MEDINA
NPI 1407558059
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Jean Medina's NPI number?

The NPI number for Jean Medina is 1407558059. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Jean Medina's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Medina was last updated on March 20, 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.

Active since March 20, 2023PECOS Enrolled

11750 SW 40TH ST, MIAMI, FL 33175(305) 480-6602 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jean Carlo Medina NPPES

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

DR. JEAN CARLO MEDINA (NPI 1407558059) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407558059

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JEAN CARLO MEDINA

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address11750 Sw 40th StMiami, FL 33175-3530

Phone(305) 480-6602

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 19, 2023

✔ NPI 1407558059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11750 SW 40TH ST, Miami, FL 33175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jean Carlo Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507228004

PECOS Enrollment IDI20260807002614

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 Jean Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine Services Of Fl, LLC

22 mi

Emergency Medicine

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
1,912 clinicians in this Medicare group

NPI 1043917180 (305) 682-7000

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

Other Providers at the Same Location NPPES 20

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

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)