DR. SERGIO HERNANDEZ BORGES
NPI 1043600414
Internal Medicine - Endocrinology, Diabetes & Metabolism in Miami Lakes, FL

Q: What is Sergio Hernandez Borges's NPI number?

The NPI number for Sergio Hernandez Borges is 1043600414. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Q: What is Sergio Hernandez Borges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since January 23, 2015PECOS EnrolledAccepts Medicare Assignment

8752 NW 157TH TER, MIAMI LAKES, FL 33018(305) 439-2281(305) 402-0408 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, Dec 15, 2025, Jul 21, 2022 and 2 more (5 updates tracked since 2016).

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About Dr. Sergio Hernandez Borges NPPES

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

DR. SERGIO HERNANDEZ BORGES (NPI 1043600414) is an individual endocrinology, diabetes & metabolism provider in Miami Lakes, Florida, licensed in Florida (ME126433) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1043600414

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. SERGIO HERNANDEZ BORGES

Location Address8752 NW 157TH TERMiami Lakes, FL 33018-1412

Mailing Address8752 Nw 157th TerMiami Lakes, FL 33018-1412 · (305) 439-2281 · Fax (305) 402-0408

Phone(305) 439-2281

Fax(305) 402-0408

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 23, 2015

Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1043600414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in FL · ME126433

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME 126433 (FL)

8752 NW 157TH TER, Miami Lakes, FL 33018

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Dr. Sergio Hernandez Borges 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 ID7012203458

PECOS Enrollment IDI20161119000046

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

Medicare enrollment records show Sergio Hernandez Borges reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Criticare Clinics Inc

1.3 mi

Emergency Medicine

14701 NW 77TH AVE
Miami Lakes, FL 33014

Reassigned Medicare billing, Florida enrollment
163 clinicians in this Medicare group

NPI 1508871948 (305) 665-4614

Public Health Trust Of Miami Dade County Florida

8.7 mi

General Acute Care Hospital

160 NW 170TH ST
North Miami Beach, FL 33169

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Jmh Internal Medicine Specialist LLC
17 clinicians in this Medicare group

NPI 1104857119 (305) 585-8957

Public Health Trust Of Miami Dade County Florida

8.7 mi

General Acute Care Hospital

160 NW 170TH ST
North Miami Beach, FL 33169

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Rodriguez Torrecilla LLC
13 clinicians in this Medicare group

NPI 1104857119 (305) 585-8957

Qmc LLC

9.9 mi

Hospitalist

5201 BLUE LAGOON DR FL 89
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
183 clinicians in this Medicare group

NPI 1003216391 (305) 554-1700

Bluecare Inc

13 mi

Internal Medicine

7921 SW 40TH ST
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1053893578 (305) 250-0557

Acure Medical Group Corp

13 mi

Hospitalist

1261 SW 153RD PATH
Miami, FL 33194

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1467965947 (305) 613-9806

Hospital Medicine Services Of Fl, LLC

13 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
861 clinicians in this Medicare group

NPI 1710684857 (305) 682-7000

Mg H2 LLC

14 mi

Hospitalist

333 SE 2ND AVE
Miami, FL 33131

Reassigned Medicare billing, Florida enrollment
81 clinicians in this Medicare group

NPI 1710583976 (305) 697-9660

Univida Hallandale Medical Center LLC

14 mi

Adult Medicine

2500 E HALLANDALE BEACH BLVD STE QR
Hallandale Beach, FL 33009

Reassigned Medicare billing, Florida enrollment
7 clinicians in this Medicare group

NPI 1366015042 (954) 505-5009

Cogent Healthcare Of Pensacola LLC

84 mi

Internal Medicine

8300 COLLIER BLVD
Naples, FL 34114

Reassigned Medicare billing, Florida enrollment
335 clinicians in this Medicare group

NPI 1740863844 (239) 354-6000

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 12

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,978 services190 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

868 services133 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.

503 services73 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

269 services90 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.

158 services61 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

127 services110 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

94 services78 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

87 services72 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

81 services48 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

56 services50 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

26 services25 patients

Advance care planning, first 30 minutes 99497

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100050

Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33018 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%127 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier25 claims50 services$60.97 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier25 claims150 services$25.12 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers19 claims706 services$6.73 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers12 claims380 services$0.92 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers83 claims1,800 services$4.93 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers73 claims23,392 services$0.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sergio Hernandez Borges's NPI number?

The NPI number for Sergio Hernandez Borges is 1043600414. It was assigned to this individual provider in the NPPES registry on January 23, 2015.

Where is Sergio Hernandez Borges located?

Sergio Hernandez Borges practices at 8752 NW 157th Ter, Miami Lakes, FL 33018. The listed phone number is (305) 439-2281.

What is Sergio Hernandez Borges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sergio Hernandez Borges enrolled in Medicare?

Yes. Sergio Hernandez Borges 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 Sergio Hernandez Borges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Hernandez Borges reassigns Medicare benefits to 13 organizations: Criticare Clinics Inc (Miami Lakes, FL), Public Health Trust Of Miami Dade County Florida (North Miami Beach, FL), Public Health Trust Of Miami Dade County Florida (North Miami Beach, FL), Qmc LLC (Miami, FL), Bluecare Inc (Miami, FL) and 8 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 Sergio Hernandez Borges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Hernandez Borges accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sergio Hernandez Borges 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 Sergio Hernandez Borges affiliated with any hospitals?

According to CMS data, Sergio Hernandez Borges is affiliated with Jackson Health System and Larkin Community Hospital Palm Springs Campus.

When was this NPI record last updated?

The NPPES record for Sergio Hernandez Borges was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.