DR. CARLOS A MEDINA (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1639193923

DR. CARLOS A MEDINA (MD) is a healthcare provider. based in Miami, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME60360 (FL). The NPI Number for DR. CARLOS A MEDINA (MD) is 1639193923

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS A MEDINA (MD)
NPI
1639193923
Phone
(305) 243-4029
Address
1611 NW 12TH AVE
Enumeration Date
27 July 2006
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
3055471496
Graduation Year
1989 (37 years ago)
PAC ID
2668598681
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20100928000639
Address ID
FL331361005MI1611XAVEN501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. CARLOS A MEDINA (MD)

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331016960

    Phone: (305) 243-4029

    Fax: (305) 243-8470

    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 17 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: CooperSurgical, Inc. ($158).

Total Amount

$376

General + Research + Ownership

Payments

17

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-28

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
I20100928000639IObstetrics/GynecologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4136$0
99212Established patient office or other outpatient visit, 10-19 minutes3021$0
81002Urinalysis, manual test2520$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 33101)

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Provider's Procedures

DR. CARLOS A MEDINA (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYFL81002Urinalysis, manual test8466

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: 3274795109View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. CARLOS A MEDINA (MD)'s NPI?
You can confirm DR. CARLOS A MEDINA (MD) with NPI 1639193923; it appears in the national provider directory.
Is DR. CARLOS A MEDINA (MD)'s NPI currently valid?
The extract we use shows DR. CARLOS A MEDINA (MD) as active.
What kind of provider is DR. CARLOS A MEDINA (MD)?
The page reflects Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician for DR. CARLOS A MEDINA (MD). Clinical services aligned with this taxonomy classification.
Where is DR. CARLOS A MEDINA (MD)'s primary listing?
We display Miami, Florida because that is what the record indicates for DR. CARLOS A MEDINA (MD).
How can I contact DR. CARLOS A MEDINA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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