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JONATHAN L TOLENTINO MD
NPI 1063621209
Internal Medicine in Miami, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1150 NW 14TH ST STE 411, MIAMI, FL 33136(305) 243-4900(305) 243-4966 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 21, 2022, Apr 7, 2020, Feb 17, 2020 and 1 more (4 updates tracked since 2020).

About Jonathan L Tolentino Md NPPES

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

JONATHAN L TOLENTINO MD (NPI 1063621209) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME143438) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063621209
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJONATHAN L TOLENTINOCredential: MD
Location Address1150 NW 14TH ST STE 411Miami, FL 33136-2137
Mailing Address1120 Nw 14th St # St960Miami, FL 33136-2107 · (305) 243-4258 · Fax (305) 243-7096
Phone(305) 243-4900
Fax(305) 243-4966
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateMay 22, 2007
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1063621209 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 · ME143438
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 ListedPediatricsTaxonomy 208000000X · License ME143438 (FL)
1150 NW 14TH ST STE 411, Miami, FL 33136
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11611 NW 12th Avenue, Central Building Room 600D (R-60)Miami, FL 33136-3313 · Phone (305) 585-7476 · Fax (305) 585-8128
Location 21120 NW 14th St # Crb960Miami, FL 33136-2107 · Phone (305) 243-4258 · Fax (305) 243-7096

Accepted Insurance

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

Jonathan L Tolentino 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 ID2961533054
PECOS Enrollment IDI20200417002092
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 Jonathan Tolentino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Urology
1150 NW 14TH ST, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1154371458 (305) 243-7688

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

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 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.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 11

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

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims312 services$2.57 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,080 services$2.17 avg. paid by Medicare
Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
1 supplier12 claims144 services$3.23 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier12 claims24 services$6.64 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims24 services$3.06 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.29 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

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

DIANA NICOLE STEVENS DNP, MSN, APRN FNP
Nurse Practitioner (Family)
1150 NW 14TH ST STE 411
MIAMI, FL 33136
Miami-Dade County (786) 326-3876

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 Jonathan Tolentino's NPI number?

The NPI number for Jonathan Tolentino is 1063621209. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jonathan Tolentino located?

Jonathan Tolentino practices at 1150 NW 14th St Ste 411, Miami, FL 33136. The listed phone number is (305) 243-4900.

What is Jonathan Tolentino's specialty?

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

Is Jonathan Tolentino enrolled in Medicare?

Yes. Jonathan Tolentino 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 Jonathan Tolentino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Tolentino 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 Jonathan Tolentino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Tolentino 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 Jonathan Tolentino 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 Jonathan Tolentino affiliated with any hospitals?

According to CMS data, Jonathan Tolentino is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Jonathan Tolentino was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.