INNOVATIVE CANCER INSTITUTE LLC
NPI 1558029041
Radiology - Radiation Oncology in Hialeah, FL

Q: What is Innovative Cancer Institute LLC's NPI number?

The NPI number for Innovative Cancer Institute LLC is 1558029041. It was assigned to this organization in the NPPES registry on December 2, 2021.

Q: What is Innovative Cancer Institute LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Active since December 02, 2021

96 W 21ST ST, HIALEAH, FL 33010(305) 669-6833(305) 666-4030 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Innovative Cancer Institute Llc NPPES

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

INNOVATIVE CANCER INSTITUTE LLC (NPI 1558029041) is a healthcare organization registered as a radiation oncology in Hialeah, Florida and active in the NPI registry since December 2021. The organization lists Michelle Milan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1558029041

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameINNOVATIVE CANCER INSTITUTE LLC

Location Address96 W 21ST STHialeah, FL 33010-2614

Mailing Address5995 Sw 71st St Ste 1-bSouth Miami, FL 33143-3531 · (305) 669-6833

Phone(305) 669-6833

Fax(305) 666-4030

Organization SubpartNo

Authorized OfficialMichelle MilanOffice Manager · (305) 669-6833

Enumeration DateDecember 2, 2021

NPPES CertifiedDecember 2, 2021

✔ NPI 1558029041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

96 W 21ST ST, Hialeah, FL 33010

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Cancer Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Innovative Cancer Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Allie Garcia Serra, MD

Radiation Oncology

NPI 1760496160

6129 SW 70TH ST
South Miami, FL 33143

(786) 871-6800

✔ PECOS✔ Accepts Medicare9.3 mi

Beatriz Amendola, MD

Radiation Oncology

NPI 1073511333

5995 SW 71ST ST STE 1-A
South Miami, FL 33143

(305) 669-6833

✔ PECOS✔ Accepts Medicare9.3 mi

Michael Hall, MD

Radiation Oncology

NPI 1386931764

6030 HOLLYWOOD BLVD STE 100
Pembroke Pines, FL 33024

(954) 322-7200

✔ PECOS✔ Accepts Medicare13 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 Innovative Cancer Institute LLC's NPI number?

The NPI number for Innovative Cancer Institute LLC is 1558029041. It was assigned to this organization in the NPPES registry on December 2, 2021.

Where is Innovative Cancer Institute LLC located?

Innovative Cancer Institute LLC is located at 96 W 21st St, Hialeah, FL 33010. The listed phone number is (305) 669-6833.

What is Innovative Cancer Institute LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Innovative Cancer Institute LLC enrolled in Medicare?

Yes. Innovative Cancer Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Cancer Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Radiation Oncology, reassign their Medicare billing to Innovative Cancer Institute LLC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Cancer Institute LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Innovative Cancer Institute LLC 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.

When was this NPI record last updated?

The NPPES record for Innovative Cancer Institute LLC was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.