OMEDEROS MD PA
NPI 1427853894
Internal Medicine in Miramar, FL

Active since February 18, 2025
15955 BASS CREEK RD, MIRAMAR, FL 33027(786) 553-0177 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Omederos Md Pa NPPES

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

OMEDEROS MD PA (NPI 1427853894) is a healthcare organization registered as an internal medicine in Miramar, Florida and active in the NPI registry since February 2025. The organization lists Orestes Mederos Trujillo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427853894
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOMEDEROS MD PA
Location Address15955 BASS CREEK RDMiramar, FL 33027-3667
Mailing Address500 Sw 145th Ave Apt 230Pembroke Pines, FL 33027-6209
Organization SubpartNo
Authorized OfficialOrestes Mederos TrujilloCeo · (786) 553-0177
Enumeration DateFebruary 18, 2025
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1427853894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedFamily MedicineTaxonomy 207Q00000X
15955 BASS CREEK RD, Miramar, FL 33027

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Omederos Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Omederos MD PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Hospitalist
NPI 1316456528
7000 W 12TH AVE STE 4
Hialeah, FL 33014
(305) 587-2812
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1962286369
175 FOUNTAINBLEAU BLVD STE 1F1
Miami, FL 33172
(786) 965-3907
✔ PECOS13 mi
Nurse Practitioner
NPI 1740734839
1572 SW 150TH AVE
Miami, FL 33194
(786) 270-8011
✔ PECOS✔ Accepts Medicare16 mi
General Practice
NPI 1407558299
11880 BIRD RD. STE 101
Miami, FL 33175
(305) 485-4677
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1821790577
11880 BIRD RD STE 101
Miami, FL 33175
(305) 485-4677
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1689212516
8306 MILLS DR
Miami, FL 33183
(347) 898-3038
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1518569912
155 SW 6TH ST
Pompano Beach, FL 33060
(754) 220-0126
✔ PECOS✔ Accepts Medicare22 mi

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 Omederos MD PA's NPI number?

The NPI number for Omederos MD PA is 1427853894. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Omederos MD PA located?

Omederos MD PA is located at 15955 Bass Creek Rd, Miramar, FL 33027. The listed phone number is (786) 553-0177.

What is Omederos MD PA's specialty?

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

Is Omederos MD PA enrolled in Medicare?

Yes. Omederos MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Omederos MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Omederos MD PA. 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. The largest specialties are Nurse Practitioner (3), Internal Medicine (2) and General Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Omederos MD PA was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.