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DR. JUAN C ABREU MD
NPI 1043269863
Internal Medicine in Hialeah, FL

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
200 W 49TH ST, HIALEAH, FL 33012(786) 273-1361(305) 851-4137 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Juan C Abreu Md NPPES

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

DR. JUAN C ABREU MD (NPI 1043269863) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME84810) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1043269863
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUAN C ABREUCredential: MD
Location Address200 W 49TH STHialeah, FL 33012-3714
Mailing Address200 W 49th StHialeah, FL 33012-3714 · (786) 273-1361 · Fax (305) 851-4137
Phone(786) 273-1361
Fax(305) 851-4137
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1043269863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME84810
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 ListedFamily MedicineTaxonomy 207Q00000X · License ME84810 (FL)
200 W 49TH ST, Hialeah, FL 33012
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Other Identifiers 1

Medicaid012915900FL

Accepted Insurance

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

Dr. Juan C Abreu 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 ID1355327289
PECOS Enrollment IDI20040629001360
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

4

Medicare enrollment records show Juan Abreu reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

La Familia Mental Health Inc
2.7 mi
Clinic/Center
1550 W 84TH ST STE 31
Hialeah, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1356932586 (305) 901-1191
Tu Salud Medical Services Inc
6.0 mi
Urology
900 PARK CENTRE BLVD
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1376913053 (305) 912-8603
Miami Jewish Health Systems, Inc.
6.6 mi
Skilled Nursing Facility
5200 NE 2ND AVE
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1821093451 (305) 751-8626
Inpatient Consultants Of Florida Inc
202 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims420 services$1.80 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,232 services$6.68 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$9.39 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$6.41 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$19.74 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 7

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

ONE STOP CARE NETWORK LLC
General Practice
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 821-8292
GINORIS & ASSOCIATES INC
Family Medicine
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 821-8292
JUAN CARLOS ABREU, M.D., P.A.
Family Medicine
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (786) 273-1361
NOSTRUM MEDICAL CENTER WEST HIALEAH LLC
General Practice
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 821-8292
TERESITA DIEGUEZ MD
Family Medicine
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 821-8292
ILLUMINA MEDICAL CENTER OF HIALEAH, LLC
Clinic/Center
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 254-8900
JOSE A SOLER BAILLO MD
Family Medicine
200 W 49TH ST
HIALEAH, FL 33012
Miami-Dade County (305) 821-8292

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 Juan Abreu's NPI number?

The NPI number for Juan Abreu is 1043269863. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Juan Abreu located?

Juan Abreu practices at 200 W 49th St, Hialeah, FL 33012. The listed phone number is (786) 273-1361.

What is Juan Abreu's specialty?

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

Is Juan Abreu enrolled in Medicare?

Yes. Juan Abreu 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 Juan Abreu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Abreu reassigns Medicare benefits to 4 organizations: La Familia Mental Health Inc (Hialeah, FL), Tu Salud Medical Services Inc (Miami Gardens, FL), Miami Jewish Health Systems, Inc. (Miami, FL) and Inpatient Consultants Of Florida Inc (Tampa, FL). 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 Juan Abreu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Abreu accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Juan Abreu 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.

When was this NPI record last updated?

The NPPES record for Juan Abreu was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.