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DR. SAMUEL EDUARDO BACALLAO M.D.
NPI 1457644833
Anesthesiology in Miami, FL

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment
1400 NW 12TH AVE, MIAMI, FL 33136(305) 689-1338 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Jan 8, 2023, Dec 27, 2019 (3 updates tracked since 2019).

About Dr. Samuel Eduardo Bacallao M.d. NPPES

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

DR. SAMUEL EDUARDO BACALLAO M.D. (NPI 1457644833) is an individual anesthesiology provider in Miami, Florida, licensed in Florida (ME123449) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2011).

NPPES Registry Identity

NPI1457644833
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. SAMUEL EDUARDO BACALLAOCredential: M.D.
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 689-1338
Phone(305) 689-1338
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2011
Enumeration DateMay 18, 2011
Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1457644833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME123449
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1400 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Eduardo Bacallao M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082916051
PECOS Enrollment IDI20160107001664
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 Reassignments

2

Medicare enrollment records show Samuel Bacallao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
Same address
Clinical
1601 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1184675530 (305) 243-7688
Greater Miami Anesthesia Services, PA
25 mi
Specialist
975 BAPTIST WAY
Homestead, FL 33033
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
NPI 1467407007 (786) 218-8833

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

KEREN SHAHAR M.D.
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-5511
MS. MELANIE ELEANOR GARCIA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-8500
NAYRA SANCHO LARA APRN
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
ARLEN VEGA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 325-5511
ROLANDO GARCIA MD
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3229
DR. JONATHAN GUY AZOULAI M.D.
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2121
DR. EMORY MATTHEW MANTEN
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2023
DR. CARISSA RAMOS CRUZ DMD
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136
Miami-Dade County (305) 689-1127

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 Samuel Bacallao's NPI number?

The NPI number for Samuel Bacallao is 1457644833. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Samuel Bacallao located?

Samuel Bacallao practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 689-1338.

What is Samuel Bacallao's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samuel Bacallao enrolled in Medicare?

Yes. Samuel Bacallao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Bacallao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Bacallao reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Greater Miami Anesthesia Services, PA (Homestead, FL). Each 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 Samuel Bacallao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Bacallao affiliated with any hospitals?

According to CMS data, Samuel Bacallao is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Samuel Bacallao was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.