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PAUL JOSE PERALES M.D.
NPI 1033537709
Surgery in Hialeah, FL

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
4910 E 2ND AVE, HIALEAH, FL 33013(305) 400-9454 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2024, Mar 1, 2022, Mar 6, 2020 and 1 more (4 updates tracked since 2019).

About Paul Jose Perales M.d. NPPES

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

PAUL JOSE PERALES M.D. (NPI 1033537709) is an individual surgery provider in Hialeah, Florida, licensed in Florida (ME141018) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033537709
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL JOSE PERALESCredential: M.D.
Location Address4910 E 2ND AVEHialeah, FL 33013-1410
Mailing Address4910 E 2nd AveHialeah, FL 33013-1410 · (305) 400-9454
Phone(305) 400-9454
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 31, 2014
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1033537709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME141018
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4910 E 2ND AVE, Hialeah, FL 33013
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Secondary Practice Locations 2

Location 111750 Bird RdMiami, FL 33175-3530 · Phone (305) 223-2000 ext. 5935 · Fax (305) 227-5556
Location 22950 Cleveland Clinic BlvdWeston, FL 33331-3625 · Phone (954) 659-5000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Paul Jose Perales 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 ID2769603133
PECOS Enrollment IDI20190822003831
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

3

Medicare enrollment records show Paul Perales reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jorge L. Sosa, M.D., P.A.
1.2 mi
Specialist
3499 W 4TH AVE, SUITE 201
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1285925099 (305) 558-0411
South Florida Surgical Specialists LLC
28 mi
Surgery
3001 CORAL HILLS DR, SUITE 320
Coral Springs, FL 33065
  • Reassigned Medicare billing, Florida enrollment
  • 111 clinicians in this Medicare group
NPI 1952409963 (954) 755-0111
Little Lantern Clinic LLC
1,114 mi
General Practice
4541 N JOSEY LN STE 110
Carrollton, TX 75010
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group
NPI 1114409133 (469) 788-8588

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

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.

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.
13 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 33013 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 5

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

VIDA MEDICAL SERVICES INC
Clinic/Center
4910 E 2ND AVE
HIALEAH, FL 33013
Miami-Dade County (786) 615-8113
HILARIO A ISABA MD
General Practice
4910 E 2ND AVE
HIALEAH, FL 33013
Miami-Dade County (786) 431-1643
SOMOS VIDA MEDICAL CENTER, LLC
Family Medicine
4910 E 2ND AVE
HIALEAH, FL 33013
Miami-Dade County (954) 239-8860
VIDA MEDICAL RESEARCH INC
Clinic/Center (Research)
4910 E 2ND AVE
HIALEAH, FL 33013
Miami-Dade County (786) 431-1643
SOMOS VIDA MEDICAL MULTISERVICE LLC
Family Medicine
4910 E 2ND AVE
HIALEAH, FL 33013
Miami-Dade County (954) 239-8860

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 Paul Perales's NPI number?

The NPI number for Paul Perales is 1033537709. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Paul Perales located?

Paul Perales practices at 4910 E 2nd Ave, Hialeah, FL 33013. The listed phone number is (305) 400-9454.

What is Paul Perales's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Perales enrolled in Medicare?

Yes. Paul Perales 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 Paul Perales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Perales reassigns Medicare benefits to 3 organizations: Jorge L. Sosa, M.D., P.A. (Hialeah, FL), South Florida Surgical Specialists LLC (Coral Springs, FL) and Little Lantern Clinic LLC (Carrollton, TX). 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 Paul Perales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Perales accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, CareSource and Cigna HealthCare of Florida, Inc. and 5 other insurers list Paul Perales 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 Paul Perales affiliated with any hospitals?

According to CMS data, Paul Perales is affiliated with Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Paul Perales was last updated on September 6, 2024. 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.