BLAKE ERNESTO CARRILLO PA-C
NPI 1588098040
Physician Assistant - Medical in Miami, FL

NPI Status: Active since September 02, 2013

Contact Information

14150 SW 136TH ST
MIAMI, FL
ZIP 33186
Phone: (786) 204-4600

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About BLAKE CARRILLO

This page provides the complete NPI Profile along with additional information for Blake Carrillo, a primary care provider established in Miami, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1588098040 assigned on September 2013. The practitioner's primary taxonomy code is 363AM0700X with license number PA9107380 (FL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1588098040
Provider Name
BLAKE ERNESTO CARRILLO PA-C
Gender
Male
Entity Type
Individual
Location Address
14150 SW 136TH ST MIAMI, FL 33186
Location Phone
(786) 204-4600
Mailing Address
173 KINGS WAY ROYAL PALM BEACH, FL 33411
Mailing Phone
(786) 316-5665
Is Sole Proprietor?
No
Enumeration Date
09-02-2013
Last Update Date
04-28-2020
Code Navigator

A primary care provider (PCP) like Blake Carrillo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 14100 SW 136th St
    Miami, FL 33186
    (786) 204-4600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA9107380
License State
FL

Medicare Participation & PECOS Enrollment Status

Blake Carrillo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588098040, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 0 + 9 + 1 + 6 + 0 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1588098040.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Physician Assistant
14150 SW 136TH ST
MIAMI, FL 33186
Nurse Practitioner (Acute Care)
14150 SW 136TH ST
MIAMI, FL 33186
Radiology (Diagnostic Radiology)
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Nurse Practitioner (Family)
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Nurse Practitioner (Acute Care)
14150 SW 136TH ST
MIAMI, FL 33186
Radiology (Diagnostic Radiology)
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Physician Assistant
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Physician Assistant
14150 SW 136TH ST
MIAMI, FL 33186
Registered Nurse (Emergency)
14150 SW 136TH ST
MIAMI, FL 33186
Emergency Medicine
14150 SW 136TH ST
MIAMI, FL 33186
Physician Assistant (Medical)
14150 SW 136TH ST
MIAMI, FL 33186

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588098040, enumerated as an "individual" on September 02, 2013.

The provider is located at 14150 SW 136TH ST MIAMI, FL 33186 and the phone number is (786) 204-4600.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.