DR. RAFLE FERNANDEZ MD
NPI 1033451877
Internal Medicine - Cardiovascular Disease in Miami Beach, FL

Q: What is Rafle Fernandez's NPI number?

The NPI number for Rafle Fernandez is 1033451877. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Q: What is Rafle Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Rafle Fernandez was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 19, 2013PECOS EnrolledAccepts Medicare Assignment

81.33/100

CMS Quality Rating

4300 ALTON ROAD, SUITE 2070, MIAMI BEACH, FL 33140(305) 674-2121 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Rafle Fernandez Md NPPES

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

DR. RAFLE FERNANDEZ MD (NPI 1033451877) is an individual cardiovascular disease provider in Miami Beach, Florida, licensed in Florida (140180) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in Miami Beach.

NPPES Registry Identity

NPI1033451877

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. RAFLE FERNANDEZCredential: MD

Location Address4300 ALTON ROAD, SUITE 2070Miami Beach, FL 33140

Mailing Address4300 Alton Road, Suite 2070Miami Beach, FL 33140 · (305) 674-2121

Phone(305) 674-2121

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2013

Enumeration DateMarch 19, 2013

Last NPPES UpdateApril 30, 2019

✔ NPI 1033451877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · 140180

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4300 ALTON ROAD, Miami Beach, FL 33140

Open in Google Maps ↗

Secondary Practice Location 1

Location 14300 Alton Road, Suite 2070Miami Beach, FL 33140 · Phone (305) 674-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, 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. Rafle Fernandez Md 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 ID4880937499

PECOS Enrollment IDI20190523000394

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 25

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

396 services389 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

302 services300 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.

215 services114 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

119 services111 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

114 services107 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

111 services103 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

72 services36 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

60 services58 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

49 services47 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.

49 services32 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

43 services43 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

40 services40 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

36 services36 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

32 services32 patients

Ultrasound of heart 93307

An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.

30 services30 patients

Heart muscle strain imaging 93356

28 services28 patients

Interpretation and report of ultrasound of heart 93314

This procedure involves using ultrasound technology to create images of your heart. These images help identify heart conditions by showing the size, structure, and motion of your heart. A report is then prepared detailing the findings.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

24 services24 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

23 services23 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 services21 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.

19 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services17 patients

Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report 93355

This procedure, known as a transesophageal echocardiogram, involves placing a probe in your esophagus to capture detailed images of your heart during surgery. It helps surgeons monitor heart function and guide treatment. A report will follow.

16 services15 patients

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319

3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.

15 services14 patients

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.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100150

Location5900 College RoadKey West, FL 33040 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

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.

81.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.57

Promoting Interoperability

100

Improvement Activities

Cost

55.12

Leave this field empty

Other Providers at the Same Location NPPES 11

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

DR. JOSE ADAMS MD

Pediatrics (Neonatal-Perinatal Medicine)

4300 ALTON ROAD, BLUM BLDG 3RD FLOOR
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2727

DR. RANJAN DUARA MD

Psychiatry & Neurology (Neurology)

4300 ALTON ROAD, WEIN CENTER
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2543

MSMC ONCOLOGY, LLC

Internal Medicine (Medical Oncology)

4300 ALTON ROAD, 2ND FLOOR ASCHER BUILDING
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2841

DR. IGNACIO ARTURO ZABALETA MD

Pediatrics (Neonatal-Perinatal Medicine)

4300 ALTON ROAD, BLUM BLDG 3RD FLOOR
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2727

DR. ALEXANDER GARCIA D.O.

Emergency Medicine

4300 ALTON ROAD
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2121

MOUNT SINAI INTENSIVISTS LLC

General Practice

4300 ALTON ROAD
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2121

MANUEL SIVINA MD

Surgery (Vascular Surgery)

4300 ALTON ROAD, GREENSPAN BUILDING STE 2240
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2760

LUAN BARROS DE SOUSA MD

Student in an Organized Health Care Education/Training Program

4300 ALTON ROAD, DPT OF PATHOLOGY
MIAMI BEACH, FL 33140

Miami-Dade County (305) 674-2310

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 Rafle Fernandez's NPI number?

The NPI number for Rafle Fernandez is 1033451877. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Rafle Fernandez located?

Rafle Fernandez practices at 4300 Alton Road Suite 2070, Miami Beach, FL 33140. The listed phone number is (305) 674-2121.

What is Rafle Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rafle Fernandez enrolled in Medicare?

Yes. Rafle Fernandez 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 Rafle Fernandez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Rafle Fernandez 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 Rafle Fernandez affiliated with any hospitals?

According to CMS data, Rafle Fernandez is affiliated with Mount Sinai Medical Center Of Florida, Inc and Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for Rafle Fernandez was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.