OTTO L SECADA MDPA
NPI 1881983658
Internal Medicine - Geriatric Medicine in Hialeah, FL

Active since April 01, 2011CLIA 10D0867709 · Waiver
7150 W 20TH AVE STE 209, HIALEAH, FL 33016(305) 828-5677(305) 828-9196 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2025, Sep 19, 2022 (2 updates tracked since 2022).

About Otto L Secada Mdpa NPPES

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

OTTO L SECADA MDPA (NPI 1881983658) is a healthcare organization registered as a geriatric medicine in Hialeah, Florida and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Otto L Secada, Physician, as its authorized official.

NPPES Registry Identity

NPI1881983658
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameOTTO L SECADA MDPA
Location Address7150 W 20TH AVE STE 209Hialeah, FL 33016-5531
Mailing Address7150 W 20th Ave Ste 209Hialeah, FL 33016-5531 · (305) 828-5677 · Fax (305) 828-9196
Fax(305) 828-9196
Organization SubpartNo
Authorized OfficialOtto L SecadaPhysician · (305) 828-5677
Enumeration DateApril 1, 2011
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1881983658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in FL · ME60146
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
7150 W 20TH AVE STE 209, Hialeah, FL 33016

Other Identifiers 1

Medicaid057633600FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otto L Secada Mdpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Otto L Secada Mdpa, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1477353142
7150 W 20TH AVE STE 209
Hialeah, FL 33016
(305) 828-5677
✔ PECOSSame address
Internal Medicine
NPI 1942297205
7150 W 20TH AVE STE 209
Hialeah, FL 33016
(305) 828-5677
✔ PECOS✔ Accepts MedicareSame address

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 10D0867709

Otto L Secada MD PA · Hialeah, FL
Active · expires Aug 31, 2028
CLIA Number10D0867709
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorOtto L. Secada
Laboratory Phone(305) 828-5677
Laboratory LocationOtto L Secada MD PA7150 W 20th Ave Ste 209, Hialeah, FL 33016
CLIA data matches this NPI record on: Address Name Phone
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 Otto L Secada Mdpa's NPI number?

The NPI number for Otto L Secada Mdpa is 1881983658. It was assigned to this organization in the NPPES registry on April 1, 2011.

Where is Otto L Secada Mdpa located?

Otto L Secada Mdpa is located at 7150 W 20th Ave Ste 209, Hialeah, FL 33016. The listed phone number is (305) 828-5677.

What is Otto L Secada Mdpa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Otto L Secada Mdpa enrolled in Medicare?

Yes. Otto L Secada Mdpa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Otto L Secada Mdpa?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Otto L Secada Mdpa, in Family Practice and Internal Medicine. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Otto L Secada Mdpa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0867709) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Otto L Secada Mdpa was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.