Jacklyn Pancrudo, D.O.
Jacklyn Pancrudo, D.O. is a Critical Care Medicine (Internal Medicine) Physician in Miami, FL, registered under NPI 1003046962.
Getting there
Here is what surrounds this office in Miami, based on OpenStreetMap data collected Sep 2, 2026. Parking is available about 0.48 mi away. The nearest transit stop is 0.22 mi away, served by Southwest 40th Street & Southwest 117th Avenue. If you arrive early, there is a coffee shop 0.28 mi away.
Getting here and what is nearby
Parking 356 ft ~2 min
Parking 458 ft ~2 min
Transit Southwest 40th Street & Florida's Turnpike 505 ft ~2 min
Transit Southwest 40th Street & Southwest 119th Court 869 ft ~4 min
Transit Southwest 40th Street & Southwest 117th Avenue 0.22 mi ~5 min
Gas station Chevron 0.23 mi ~5 min
11695 Southwest 40th Street, Miami 33165
Restaurant Burger King 0.25 mi ~6 min
11595 Southwest 40th Street, Miami 33165
06:00-23:00
Hotel Comfort Suites Miami Kendall 0.27 mi ~6 min
Coffee Starbucks 0.28 mi ~6 min
Restaurant Shorty's BBQ 0.30 mi ~7 min
Restaurant Chicken Kitchen 0.41 mi ~9 min
11443 Bird Road, 33165
Grocery Publix 0.41 mi ~9 min
Parking 0.48 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OS11255 | FL | Critical Care Medicine (Internal… primary |
This provider holds licence OS11255 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Critical Care (intensivists)
- PAC ID
- 7012134992
Enrolled in Medicare 11 times, across 11 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Florida | I20140818000730 | Practitioner - Critical Care (intensivists) |
| Tennessee | I20160201000225 | Practitioner - Internal Medicine |
| Georgia | I20160726000280 | Practitioner - Internal Medicine |
| New York | I20170130000762 | Practitioner - Critical Care (intensivists) |
| Texas | I20180628001536 | Practitioner - Internal Medicine |
| Virginia | I20190513001932 | Practitioner - Critical Care (intensivists) |
| Nevada | I20190515002280 | Practitioner - Critical Care (intensivists) |
| District of Columbia | I20191022000274 | Practitioner - Critical Care (intensivists) |
| South Carolina | I20200717000469 | Practitioner - Critical Care (intensivists) |
| Kansas | I20230316001190 | Practitioner - Critical Care (intensivists) |
| Kentucky | I20260219000992 | Practitioner - Critical Care (intensivists) |
Medicare enrolment is recorded as approved under the provider type Practitioner - Critical Care (intensivists). There are 11 separate enrolment records across 11 states (FL, TN, GA, NY, TX, VA, NV, DC, SC, KS, KY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Critical Care Medicine covers
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NUCC Health Care Provider Taxonomy, code 207RC0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003046962 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 24, 2009 |
| Last updated | Jan 27, 2022 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | D.O. |
| Practice address |
11750 SW 40TH ST Miami, FL 33175 (561) 997-0821 |
| Mailing address |
1875 NW CORPORATE BLVD SUITE 270 Boca Raton, FL 33431 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 4 | 6 | 9 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 4 | 3 | 9 | 3 |
Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.