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OTTO C CONCEPCION M.D.
NPI 1508002999
Internal Medicine in Hialeah, FL

Active since January 06, 2009PECOS Enrolled
3855 E 4TH AVE, HIALEAH, FL 33013(305) 835-0438(786) 796-2721 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 1, 2026, Apr 23, 2026, May 23, 2025 and 1 more (4 updates tracked since 2019).

About Otto C Concepcion M.d. NPPES

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

OTTO C CONCEPCION M.D. (NPI 1508002999) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME103235) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Homestead Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1508002999
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOTTO C CONCEPCIONCredential: M.D.
Location Address3855 E 4TH AVEHialeah, FL 33013-2703
Mailing Address8333 Nw 53rd St Fl 6Doral, FL 33166-4783
Phone(305) 835-0438
Fax(786) 796-2721
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 6, 2009
Last NPPES UpdateJune 23, 20264 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1508002999 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 · ME103235
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.
3855 E 4TH AVE, Hialeah, FL 33013
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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)

Otto C Concepcion M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466597919
PECOS Enrollment IDI20100308000853
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 Otto Concepcion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cano Health, LLC
11 mi
Multi-Specialty
680 N UNIVERSITY DRIVE
Pembroke Pines, FL 33024
  • Reassigned Medicare billing, Florida enrollment
  • 153 clinicians in this Medicare group
NPI 1689901688 (954) 538-6868
South Dade Primary Care LLC
  • Reassigned Medicare billing, Florida enrollment
  • 47 clinicians in this Medicare group
No phone listed

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.

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33013 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.

Other Providers at the Same Location NPPES 2

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

ANA MARIA PENENORI MONTOTO ARNP
Nurse Practitioner (Adult Health)
3855 E 4TH AVE
HIALEAH, FL 33013
Miami-Dade County (305) 835-0438
CANO HEALTH, LLC
General Practice
3855 E 4TH AVE
HIALEAH, FL 33013
Miami-Dade County (855) 226-6633

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 Otto Concepcion's NPI number?

The NPI number for Otto Concepcion is 1508002999. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Otto Concepcion located?

Otto Concepcion practices at 3855 E 4th Ave, Hialeah, FL 33013. The listed phone number is (305) 835-0438.

What is Otto Concepcion's specialty?

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

Is Otto Concepcion enrolled in Medicare?

Yes. Otto Concepcion is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Otto Concepcion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otto Concepcion reassigns Medicare benefits to 2 organizations: Cano Health, LLC (Pembroke Pines, FL) and South Dade Primary Care LLC (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 Otto Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Otto Concepcion accept?

Health plans from Oscar Health Maintenance Organization of Florida list Otto Concepcion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Otto Concepcion affiliated with any hospitals?

According to CMS data, Otto Concepcion is affiliated with Homestead Hospital.

When was this NPI record last updated?

The NPPES record for Otto Concepcion was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.