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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEJANDRO JOSE VILASUSO MD
NPI 1063571909
Internal Medicine - Critical Care Medicine in Miami, FL

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
9555 SW 162ND AVE, MIAMI, FL 33196(305) 661-9404(305) 661-1510 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, Jul 26, 2019 (2 updates tracked since 2019).

About Alejandro Jose Vilasuso Md NPPES

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

ALEJANDRO JOSE VILASUSO MD (NPI 1063571909) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (ME42999) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063571909
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameALEJANDRO JOSE VILASUSOCredential: MD
Location Address9555 SW 162ND AVEMiami, FL 33196-6408
Mailing Address8370 W Flagler St Ste 226Miami, FL 33144-2040 · (305) 928-7249 · Fax (305) 630-3632
Phone(305) 661-9404
Fax(305) 661-1510
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 6, 2006
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1063571909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME42999
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME0042999 (FL)
9555 SW 162ND AVE, Miami, FL 33196
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15000 University DrMiami, FL 33146-2008 · Phone (305) 928-7249 ext. 101 · Fax (305) 630-3632
Location 28900 N Kendall Dr Ste 1Miami, FL 33176-2197 · Phone (305) 728-7249 ext. 101 · Fax (305) 630-3632

Accepted Insurance

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

Alejandro Jose Vilasuso 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 ID6608835731
PECOS Enrollment IDI20041005000989
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 Reassignment

Medicare enrollment records show Alejandro Vilasuso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Florida Critical Care Services LLC
10 mi
Critical Care Medicine
8370 W FLAGLER ST STE 226
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 234 clinicians in this Medicare group
NPI 1306354626 (305) 928-7249

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
428 services140 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
351 services183 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.
25 services23 patients

Hospital Affiliations CMS Care Compare 4

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.4
Improvement Activities40

Reported Quality Measures

Advance Care Plan
99%789 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%41 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.

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.

STEPHANIE MOURINO
Pharmacist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2650
ALEJANDRO RAUL MOSQUERA M.D.
Internal Medicine
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2000
WENDY LACEY PA-C
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-3043
ADALYNE PERICLES PA-C
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2154
RAQUEL PUTULIN LEE ARNP
Nurse Practitioner (Adult Health)
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2000
IVONNE AREAN P.A
Physician Assistant
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159
AMADO CRUZ MD
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159
SARAH DARR M.D.
Hospitalist
9555 SW 162ND AVE
MIAMI, FL 33196
Miami-Dade County (786) 467-2159

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 Alejandro Vilasuso's NPI number?

The NPI number for Alejandro Vilasuso is 1063571909. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Alejandro Vilasuso located?

Alejandro Vilasuso practices at 9555 SW 162nd Ave, Miami, FL 33196. The listed phone number is (305) 661-9404.

What is Alejandro Vilasuso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Alejandro Vilasuso enrolled in Medicare?

Yes. Alejandro Vilasuso 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 Alejandro Vilasuso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alejandro Vilasuso reassigns Medicare benefits to South Florida Critical Care Services LLC (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 Alejandro Vilasuso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alejandro Vilasuso accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Alejandro Vilasuso 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 Alejandro Vilasuso affiliated with any hospitals?

According to CMS data, Alejandro Vilasuso is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Alejandro Vilasuso was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.