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DR. HEMAL J. PAREKH M.D.
NPI 1033187588
Internal Medicine - Critical Care Medicine in Miami, FL

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
99.01/100
CMS Quality Rating
1321 NW 14TH ST, MIAMI, FL 33125(305) 689-7240(305) 689-3112 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Feb 27, 2020 (2 updates tracked since 2020).

About Dr. Hemal J. Parekh M.d. NPPES

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

DR. HEMAL J. PAREKH M.D. (NPI 1033187588) is an individual critical care medicine provider in Miami, Florida, licensed in California (A85350) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1033187588
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. HEMAL J. PAREKHCredential: M.D.
Location Address1321 NW 14TH STMiami, FL 33125-1673
Mailing Address1951 Nw 7th AveMiami, FL 33136-1104 · (305) 245-6388 · Fax (305) 243-6372
Phone(305) 689-7240
Fax(305) 689-3112
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 10, 2006
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1033187588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A85350
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License A85350 (CA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A85350 (CA)
1321 NW 14TH ST, Miami, FL 33125
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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) and more.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

Dr. Hemal J. Parekh 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 ID8527007962
PECOS Enrollment IDI20230821000290
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 11

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services68 patients
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.
84 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 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.
50 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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.

99.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.31
Promoting Interoperability100
Improvement Activities40
Cost71.64

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.23 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers34 claims34 services$31.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$69.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DAGMAR LEMUS MD PA
Internal Medicine
1321 NW 14TH ST, SUITE 303
MIAMI, FL 33125
Miami-Dade County (305) 548-4005
ONCOLOGY AND RADIATION ASSOCIATES, PA
Internal Medicine (Hematology & Oncology)
1321 NW 14TH ST, STE 601
MIAMI, FL 33125
Miami-Dade County (305) 325-1700
ESPAILLAT MEDICAL SERVICES LLC
Ophthalmology
1321 NW 14TH ST, SUITE 603
MIAMI, FL 33125
Miami-Dade County (305) 545-9393
MARCOS M CHERTMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1321 NW 14TH ST, SUITE 304
MIAMI, FL 33125
Miami-Dade County (305) 324-5481
DR. THOMAS GERARD ZWICK D.P.M.
Podiatrist (Foot & Ankle Surgery)
1321 NW 14TH ST, SUITE 103
MIAMI, FL 33125
Miami-Dade County (305) 326-3338
DR. JENNA ANNE RALPH AU.D.
Audiologist
1321 NW 14TH ST, SUITE 204
MIAMI, FL 33125
Miami-Dade County (305) 325-0090
LAI-YUAN LIU MD
Internal Medicine (Geriatric Medicine)
1321 NW 14TH ST, SUITE 602
MIAMI, FL 33125
Miami-Dade County (305) 545-5353
CARRION UROLOGICAL CENTER, INC
Specialist
1321 NW 14TH ST, SUITE 600
MIAMI, FL 33125
Miami-Dade County (305) 547-2534

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 Hemal Parekh's NPI number?

The NPI number for Hemal Parekh is 1033187588. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Hemal Parekh located?

Hemal Parekh practices at 1321 NW 14th St, Miami, FL 33125. The listed phone number is (305) 689-7240.

What is Hemal Parekh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Hemal Parekh enrolled in Medicare?

Yes. Hemal Parekh 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 Hemal Parekh accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Hemal Parekh 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 Hemal Parekh affiliated with any hospitals?

According to CMS data, Hemal Parekh is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Hemal Parekh was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.