CARLOS F VALLEJO MD PA
NPI 1740595339
Internal Medicine in Miami Lakes, FL

Active since August 09, 2010CLIA 10D2201288 · Waiver
5803 NW 151ST ST, STE 101, MIAMI LAKES, FL 33014(305) 696-8802(305) 696-8156 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlos F Vallejo Md Pa NPPES

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

CARLOS F VALLEJO MD PA (NPI 1740595339) is a healthcare organization registered as an internal medicine in Miami Lakes, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Carlos F Vallejo, Medical Doctor/president, as its authorized official.

NPPES Registry Identity

NPI1740595339
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCARLOS F VALLEJO MD PA
Location Address5803 NW 151ST ST, STE 101Miami Lakes, FL 33014-2473
Mailing Address5803 Nw 151st St, Ste 101Miami Lakes, FL 33014-2473 · (305) 696-8802 · Fax (305) 696-8156
Fax(305) 696-8156
Organization SubpartNo
Authorized OfficialCarlos F VallejoMedical Doctor/president · (305) 696-8802
Enumeration DateAugust 9, 2010
Last NPPES UpdateNovember 18, 2013
✔ NPI 1740595339 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 · ME0069920
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.
5803 NW 151ST ST, Miami Lakes, FL 33014

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

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)

Carlos F Vallejo Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20101015000254Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carlos F Vallejo MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Psychiatry
NPI 1093910499
5803 NW 151 ST SUITE 101
Miami Lakes, FL 33014
(305) 696-8802
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427101534
9425 FONTAINEBLEAU BLVD 101
Miami, FL 33172
(305) 940-2239
✔ PECOS9.7 mi
Family Practice
NPI 1710240718
2001 NW 7TH ST SUITE 300
Miami, FL 33125
(305) 649-4231
✔ PECOS✔ Accepts Medicare10.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2201288

Carlos F Vallejo, MD PA · Miami Lakes, FL
Active · expires Nov 18, 2026
CLIA Number10D2201288
Laboratory TypeHealthcare Center
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorLissette Selem
Laboratory Phone(305) 696-8156
Laboratory LocationCarlos F Vallejo, MD PA5803 NW 151 St Ste 101, Miami Lakes, FL 33014
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 F Vallejo MD PA's NPI number?

The NPI number for Carlos F Vallejo MD PA is 1740595339. It was assigned to this organization in the NPPES registry on August 9, 2010.

Where is Carlos F Vallejo MD PA located?

Carlos F Vallejo MD PA is located at 5803 NW 151st St Ste 101, Miami Lakes, FL 33014. The listed phone number is (305) 696-8802.

What is Carlos F Vallejo MD PA's specialty?

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

Is Carlos F Vallejo MD PA enrolled in Medicare?

Yes. Carlos F Vallejo MD PA is registered in the Medicare PECOS enrollment system.

When is Carlos F Vallejo 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 February 28, 2027. 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 Carlos F Vallejo MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carlos F Vallejo MD PA, in Family Practice, Internal Medicine and Psychiatry. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carlos F Vallejo MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2201288) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carlos F Vallejo MD PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Carlos F Vallejo MD PA 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 Carlos F Vallejo MD PA was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.