CARLOS FERNANDO LACAYO – Anesthesiologist Assistant, NPI 1083593479

CARLOS FERNANDO LACAYO is a healthcare provider. based in Miami, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. AA1158 (FL). The NPI Number for CARLOS FERNANDO LACAYO is 1083593479

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CARLOS FERNANDO LACAYO
NPI
1083593479
Phone
(786) 447-6412
Address
11650 SW 92ND ST
Enumeration Date
29 August 2025
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865961960
Graduation Year
2025 (1 year ago)
PAC ID
2163912338
Group Practice PAC ID
4587563408
Professional Enrollment ID
I20251106001151
Address ID
FL331762118MI8900XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for CARLOS FERNANDO LACAYO

  • 11650 SW 92ND ST

    MIAMI, FL 331761022

    Phone: (786) 447-6412

    Type: Mailing

  • 8900 N KENDALL DR

    MIAMI, FL 331762118

    Phone: (786) 596-3621

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251106001151IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33176)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587563408View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Anesthesiology AssistantFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

How do payers reference CARLOS FERNANDO LACAYO?
For CARLOS FERNANDO LACAYO, use NPI 1083593479 as the unique 10-digit identifier.
Is there an active status for CARLOS FERNANDO LACAYO?
For scheduling context, CARLOS FERNANDO LACAYO is shown as active in the registry.
What area of care is associated with CARLOS FERNANDO LACAYO?
CARLOS FERNANDO LACAYO's record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CARLOS FERNANDO LACAYO?
Travel planning: use Miami, Florida as the reference point for CARLOS FERNANDO LACAYO, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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