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SERGIO SAN JOSE D.O.
NPI 1023307832
Internal Medicine - Infectious Disease in Hialeah, FL

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment
2620 W 76TH ST APT 206, HIALEAH, FL 33016(786) 897-0578 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sergio San Jose D.o. NPPES

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

SERGIO SAN JOSE D.O. (NPI 1023307832) is an individual infectious disease provider in Hialeah, Florida, licensed in Florida (OS12497) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1023307832
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameSERGIO SAN JOSECredential: D.O.
Location Address2620 W 76TH ST APT 206Hialeah, FL 33016-5649
Mailing Address2620 W 76th St Apt 206Hialeah, FL 33016-5649 · (786) 897-0578
Phone(786) 897-0578
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 1, 2011
Last NPPES UpdateOctober 18, 2016
✔ NPI 1023307832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · OS12497
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2620 W 76TH ST APT 206, Hialeah, FL 33016
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Accepted Insurance

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

Sergio San Jose D.o. 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 ID8820389976
PECOS Enrollment IDI20160620002153
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 4

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.
786 services190 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
207 services186 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.
57 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

Other Providers at the Same Location NPPES

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

SHEILA SAN JOSE IZQUIERDO RBT
Behavior Technician
2620 W 76TH ST APT 206
HIALEAH, FL 33016
Miami-Dade County (786) 493-9182

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 Sergio San Jose's NPI number?

The NPI number for Sergio San Jose is 1023307832. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Sergio San Jose located?

Sergio San Jose practices at 2620 W 76th St Apt 206, Hialeah, FL 33016. The listed phone number is (786) 897-0578.

What is Sergio San Jose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sergio San Jose enrolled in Medicare?

Yes. Sergio San Jose 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 Sergio San Jose accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sergio San Jose 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 Sergio San Jose affiliated with any hospitals?

According to CMS data, Sergio San Jose is affiliated with Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Sergio San Jose was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.