CARLOS MEDINA MD PA
NPI 1700242617
Surgery - Plastic and Reconstructive Surgery in Aventura, FL
About Carlos Medina Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS MEDINA MD PA (NPI 1700242617) is a healthcare organization registered as a plastic and reconstructive surgery in Aventura, Florida and active in the NPI registry since January 2016. The organization maintains 2 additional practice locations and lists Carlos Medina, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos Medina Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Carlos Medina 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 Carlos Medina MD PA's NPI number?
The NPI number for Carlos Medina MD PA is 1700242617. It was assigned to this organization in the NPPES registry on January 7, 2016.
Where is Carlos Medina MD PA located?
Carlos Medina MD PA is located at 21110 Biscayne Blvd Ste 201, Aventura, FL 33180. The listed phone number is (786) 817-7808.
What is Carlos Medina MD PA's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Carlos Medina MD PA enrolled in Medicare?
Yes. Carlos Medina MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carlos Medina MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Carlos Medina 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 Carlos Medina MD PA was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carlos Medina Md Pa · NPI 1700242617
Plastic and Reconstructive Surgery organization in Aventura, Florida. Organization record, active in the CMS NPPES registry since January 7, 2016.
## Identity
- **NPI:** 1700242617 (Entity type: Organization)
- **Enumerated:** January 7, 2016
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Carlos Medina, OWNER
## Practice location
- **Address:** 21110 BISCAYNE BLVD STE 201, Aventura, FL 33180-1251
- **Phone:** (786) 817-7808 · **Fax:** (786) 551-2299
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2024
- **Other identifiers:** Other ME106831 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1700242617) · Data from the CMS NPPES public registry.