GUILLERMO SOMODEVILLA MD PA
NPI 1679749998
Clinic/Center - Primary Care in Miami, FL
About Guillermo Somodevilla Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUILLERMO SOMODEVILLA MD PA (NPI 1679749998) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since May 2008. The organization lists Guillermo Somodevilla, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Guillermo Somodevilla Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Guillermo Somodevilla MD PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Guillermo Somodevilla MD PA's NPI number?
The NPI number for Guillermo Somodevilla MD PA is 1679749998. It was assigned to this organization in the NPPES registry on May 6, 2008.
Where is Guillermo Somodevilla MD PA located?
Guillermo Somodevilla MD PA is located at 12750 NW 17th St Unit 214, Miami, FL 33182. The listed phone number is (305) 269-0385.
What is Guillermo Somodevilla MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Guillermo Somodevilla MD PA enrolled in Medicare?
Yes. Guillermo Somodevilla MD PA is registered in the Medicare PECOS enrollment system.
When is Guillermo Somodevilla MD PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Guillermo Somodevilla MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Guillermo Somodevilla 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Guillermo Somodevilla MD PA was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Guillermo Somodevilla Md Pa · NPI 1679749998
Primary Care organization in Miami, Florida. Organization record, active in the CMS NPPES registry since May 6, 2008.
## Identity
- **NPI:** 1679749998 (Entity type: Organization)
- **Enumerated:** May 6, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Guillermo Somodevilla, PRESIDENT
## Practice location
- **Address:** 12750 NW 17TH ST UNIT 214, Miami, FL 33182-1422
- **Phone:** (305) 269-0385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679749998) · Data from the CMS NPPES public registry.