DR. JESSE SENGILLO MD
NPI 1053803957
Ophthalmology - Retina Specialist in North Miami, FL
About Dr. Jesse Sengillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE SENGILLO MD (NPI 1053803957) is an individual retina specialist in North Miami, Florida, licensed in Florida (ME155650) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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. Jesse Sengillo 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.
Medicare Billing Reassignment
Medicare enrollment records show Jesse Sengillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33136
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33181 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH MIAMI, FL 33181
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 Jesse Sengillo's NPI number?
The NPI number for Jesse Sengillo is 1053803957. It was assigned to this individual provider in the NPPES registry on June 6, 2018.
Where is Jesse Sengillo located?
Jesse Sengillo practices at 2111 Sole Mia Way, North Miami, FL 33181. The listed phone number is (305) 482-5275.
What is Jesse Sengillo's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Jesse Sengillo enrolled in Medicare?
Yes. Jesse Sengillo 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 organization bills Medicare for Jesse Sengillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Sengillo reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Jesse Sengillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Sengillo accept?
Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Jesse Sengillo 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 Jesse Sengillo was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Jesse Sengillo, MD · NPI 1053803957
Retina Specialist physician in North Miami, Florida. Individual provider, active in the CMS NPPES registry since June 6, 2018.
## Identity
- **NPI:** 1053803957 (Entity type: Individual)
- **Enumerated:** June 6, 2018
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** ME155650 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2111 SOLE MIA WAY, North Miami, FL 33181-2492
- **Phone:** (305) 482-5275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Miami (NPI 1003866617, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 12, 2026
- **Other identifiers:** Other TRN28043 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1053803957) · Data from the CMS NPPES public registry.