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CRISTINA I PRAVIA M.D.
NPI 1003879933
Internal Medicine in Miami, FL

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
95.88/100
CMS Quality Rating
1150 NW 14TH ST STE 100, MIAMI, FL 33136(305) 243-4963(305) 243-2738 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cristina I Pravia M.d. NPPES

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

CRISTINA I PRAVIA M.D. (NPI 1003879933) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME0085578) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coral Gables, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2000).

NPPES Registry Identity

NPI1003879933
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCRISTINA I PRAVIACredential: M.D.
Location Address1150 NW 14TH ST STE 100Miami, FL 33136
Mailing Address1150 Nw 14th St Ste 100Miami, FL 33136-2112 · (305) 243-4963 · Fax (305) 243-2738
Phone(305) 243-4963
Fax(305) 243-2738
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2000
Enumeration DateApril 11, 2006
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1003879933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0085578
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1150 NW 14TH ST STE 100, Miami, FL 33136
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Secondary Practice Location 1

Location 15555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · Phone (305) 284-3333 · Fax (305) 284-5054

Other Identifiers 1

Medicaid267592700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cristina I Pravia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123210473
PECOS Enrollment IDI20101005001308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
156 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services65 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.51
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
42%26 patients2/55-star benchmark: 100%
Breast Cancer Screening
82%84 patients4/55-star benchmark: 93%
Cervical Cancer Screening
30%81 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
61%165 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
70%86 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
62%21 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%21 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
78%675 patients3/55-star benchmark: 100%
e-Prescribing
92%444 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
86%154 patients4/55-star benchmark: 100%
HIV Screening
29%146 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
57%269 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
55%218 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
53%292 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 214 patients
96%214 patients
Provide Patients Electronic Access to Their Health Information
100%162 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 19% · 159 patients
Patients totalRate: 21% · 159 patients
15%159 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET QUINTANA
Nurse Practitioner (Family)
1150 NW 14TH ST STE 100
MIAMI, FL 33136
Miami-Dade County (305) 720-1591
DR. KERI LEE LIVINGSTONE
Internal Medicine
1150 NW 14TH ST STE 100
MIAMI, FL 33136
Miami-Dade County (305) 243-1010
MAURICIO GARCIA BANGO SOSA PA-C
Urology
1150 NW 14TH ST STE 100
MIAMI, FL 33136
Miami-Dade County (305) 243-7014
SUSAN COTE RD
Dietitian, Registered
1150 NW 14TH ST STE 100, SUITE 410
MIAMI, FL 33136
Miami-Dade County (305) 243-7900

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 Cristina Pravia's NPI number?

The NPI number for Cristina Pravia is 1003879933. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Cristina Pravia located?

Cristina Pravia practices at 1150 NW 14th St Ste 100, Miami, FL 33136. The listed phone number is (305) 243-4963.

What is Cristina Pravia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cristina Pravia enrolled in Medicare?

Yes. Cristina Pravia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cristina Pravia accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Cristina Pravia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cristina Pravia was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.