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MS. ZHENIA BARBARA ALARCON MD,OT
NPI 1043313232
Family Medicine in Miami, FL

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
35 SW 114TH AVE SUITE 201, MIAMI, FL 33174(305) 722-5929(305) 722-5930 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2025, Sep 20, 2022, Nov 17, 2020 and 5 more (8 updates tracked since 2017).

About Ms. Zhenia Barbara Alarcon Md,ot NPPES

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

MS. ZHENIA BARBARA ALARCON MD,OT (NPI 1043313232) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME142325) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043313232
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. ZHENIA BARBARA ALARCONCredential: MD,OT
Location Address35 SW 114TH AVE SUITE 201Miami, FL 33174-1005
Mailing Address980 Nw 123rd CtMiami, FL 33182-2411 · (305) 776-3480
Phone(305) 722-5929
Fax(305) 722-5930
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 6, 20258 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1043313232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME142325
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT 10388 (FL)
35 SW 114TH AVE SUITE 201, Miami, FL 33174
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Secondary Practice Locations 2

Location 1980 NW 123rd CtMiami, FL 33182-2411 · Phone (305) 776-3480
Location 29995 SW 72nd St Ste 202Miami, FL 33173-4662 · Phone (305) 776-3480

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Ms. Zhenia Barbara Alarcon Md,ot 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 ID749290682
PECOS Enrollment IDI20200824001062
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

7

Medicare enrollment records show Zhenia Alarcon reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alarcon Zhenia MD PA
Same address
Family Medicine
35 SW 114TH AVE APT 201
Miami, FL 33174
  • Reassigned Medicare billing, Florida enrollment
NPI 1215554332 (053) 722-5929
Urgent Care Physicians Of Tamiami LLC
3.2 mi
General Practice
14660 SW 8TH ST STE 100
Miami, FL 33184
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
NPI 1639381965 (786) 596-4100
Urgent Care Physicians Of Westchester LLC
3.8 mi
General Practice
8840 BIRD ROAD, SUITE #100
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1992928162 (786) 596-3890
Urgent Care Physicians Of West Kendall LLC
5.7 mi
General Practice
13001 SW 88TH ST
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
NPI 1508989757 (786) 596-3800
Urgent Care Physicians Of Palmetto Bay LLC
9.9 mi
General Practice
8950 SW 152ND ST STE 103
Palmetto Bay, FL 33157
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1740403914 (786) 596-3840
Urgent Care Physicians Of Country Walk LLC
10.0 mi
General Practice
13500 SW 152ND ST
Miami, FL 33177
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group
NPI 1689838849 (786) 596-4300
Urgent Care Physicians Of Cutler Bay, LLC
14 mi
General Practice
20997 OLD CUTLER RD
Cutler Bay, FL 33189
  • Reassigned Medicare billing, Florida enrollment
  • 43 clinicians in this Medicare group
NPI 1356163638 (786) 595-1780

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 3

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 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.
67 services37 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.
66 services55 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33174 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
$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.

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 Zhenia Alarcon's NPI number?

The NPI number for Zhenia Alarcon is 1043313232. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Zhenia Alarcon located?

Zhenia Alarcon practices at 35 SW 114th Ave Suite 201, Miami, FL 33174. The listed phone number is (305) 722-5929.

What is Zhenia Alarcon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Zhenia Alarcon enrolled in Medicare?

Yes. Zhenia Alarcon 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 Zhenia Alarcon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zhenia Alarcon reassigns Medicare benefits to 7 organizations: Alarcon Zhenia MD PA (Miami, FL), Urgent Care Physicians Of Tamiami LLC (Miami, FL), Urgent Care Physicians Of Westchester LLC (Miami, FL), Urgent Care Physicians Of West Kendall LLC (Miami, FL), Urgent Care Physicians Of Palmetto Bay LLC (Palmetto Bay, FL) and 2 more organizations, listed in the Medicare section above. 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 Zhenia Alarcon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zhenia Alarcon accept?

Health plans from AmeriHealth Caritas Next and Oscar Health Maintenance Organization of Florida list Zhenia Alarcon 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 Zhenia Alarcon affiliated with any hospitals?

According to CMS data, Zhenia Alarcon is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Zhenia Alarcon was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.