IVAN GONZALO CARRASQUILLA (MD) – Family Medicine Physician, NPI 1154373694

IVAN GONZALO CARRASQUILLA (MD) is a healthcare provider. based in Coral gables, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME69480 (FL). The NPI Number for IVAN GONZALO CARRASQUILLA (MD) is 1154373694

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
IVAN GONZALO CARRASQUILLA (MD)
NPI
1154373694
Phone
(305) 443-3001
Address
370 MINORCA AVE
Enumeration Date
16 May 2006
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3054433001
Graduation Year
1995 (31 years ago)
PAC ID
7719159466
Group Practice PAC ID
0042456907
Professional Enrollment ID
I20111003000067
Address ID
FL331344321CO370XXAVEX301
Telehealth
Yes

Contacts

Secure Messaging
ivan.carrasquilla@phpllc.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

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Provider Addresses for IVAN GONZALO CARRASQUILLA (MD)

  • 370, Minorca Avenue, Coral Gables, Miami-Dade County, Florida, 33134, United States

    2ND FLOOR

    CORAL GABLES, FL 331344330

    Phone: (305) 443-3001

    Fax: (786) 235-8575

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($97).

Total Amount

$191

General + Research + Ownership

Payments

9

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-10-03

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
I20111003000067IFamily PracticeFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8457$0
36415Insertion of needle into vein for collection of blood sample5343$0
99213Established patient office or other outpatient visit, 20-29 minutes4537$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4242$0
G0444Annual depression screening, 5 to 15 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 33134)

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Provider's Procedures

IVAN GONZALO CARRASQUILLA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL81002Urinalysis, manual test1512

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: 0042456907View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL
-FL
Internal Medicine, Pulmonary Disease, Sleep MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for IVAN GONZALO CARRASQUILLA (MD) in the U.S.?
In the U.S., IVAN GONZALO CARRASQUILLA (MD) is identified by NPI 1154373694.
Is IVAN GONZALO CARRASQUILLA (MD)'s NPI status active today?
Active status means IVAN GONZALO CARRASQUILLA (MD)'s NPI record is not deactivated in the public file.
How should patients interpret IVAN GONZALO CARRASQUILLA (MD)'s specialty?
The extract shows Family Medicine Physician for IVAN GONZALO CARRASQUILLA (MD). Clinical services aligned with this taxonomy classification.
What city is tied to IVAN GONZALO CARRASQUILLA (MD)?
The directory associates IVAN GONZALO CARRASQUILLA (MD) with Coral Gables, Florida. Check all listed addresses for suites or satellite offices.
Who maintains IVAN GONZALO CARRASQUILLA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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