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ALEJANDRO RAUL MOSQUERA M.D.
NPI 1013295468
Internal Medicine in Miami, FL

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
9555 SW 162ND AVE, MIAMI, FL 33196(786) 467-2000 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2022, May 26, 2021 (2 updates tracked since 2021).

About Alejandro Raul Mosquera M.d. NPPES

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

ALEJANDRO RAUL MOSQUERA M.D. (NPI 1013295468) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME110228) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1013295468
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEJANDRO RAUL MOSQUERACredential: M.D.
Location Address9555 SW 162ND AVEMiami, FL 33196-6408
Mailing Address9555 Sw 162nd AveMiami, FL 33196-6408 · (786) 467-2000
Phone(786) 467-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 2, 2011
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
✔ NPI 1013295468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME110228
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.
Also ListedPediatricsTaxonomy 208000000X · License ME110228 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License ME110228 (FL)
9555 SW 162ND AVE, Miami, FL 33196
Open in Google Maps ↗

Secondary Practice Location 1

Location 18900 N Kendall DrMiami, FL 33176-2118 · Phone (786) 596-7670 · Fax (786) 533-9711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alejandro Raul Mosquera 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 ID3274705660
PECOS Enrollment IDI20111006000586
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alejandro Mosquera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Health Medical Group Physicians LLC
7.3 mi
Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
NPI 1891893343 (786) 662-7111
First Docs PC
1,191 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
176 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
91 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
34 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

STEPHANIE MOURINO
Pharmacist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2650
WENDY LACEY PA-C
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-3043
ADALYNE PERICLES PA-C
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2154
RAQUEL PUTULIN LEE ARNP
Nurse Practitioner (Adult Health)
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2000
IVONNE AREAN P.A
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159
ALEJANDRO JOSE VILASUSO MD
Internal Medicine (Critical Care Medicine)
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (305) 661-9404
AMADO CRUZ MD
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159
SARAH DARR M.D.
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159

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 Alejandro Mosquera's NPI number?

The NPI number for Alejandro Mosquera is 1013295468. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Alejandro Mosquera located?

Alejandro Mosquera practices at 9555 SW 162nd Ave, Miami, FL 33196. The listed phone number is (786) 467-2000.

What is Alejandro Mosquera's specialty?

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

Is Alejandro Mosquera enrolled in Medicare?

Yes. Alejandro Mosquera 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.

Which organizations bill Medicare for Alejandro Mosquera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alejandro Mosquera reassigns Medicare benefits to 2 organizations: Baptist Health Medical Group Physicians LLC (Miami, FL) and First Docs PC (Naperville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alejandro Mosquera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alejandro Mosquera accept?

Health plans from AvMed, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Alejandro Mosquera 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.

Is Alejandro Mosquera affiliated with any hospitals?

According to CMS data, Alejandro Mosquera is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Alejandro Mosquera was last updated on February 10, 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.