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JOSE LUIS VILARO VALDERRABANO MD
NPI 1093127631
Urology in Miami, FL

Active since June 02, 2014PECOS EnrolledAccepts Medicare Assignment
9920 SW 40TH ST, MIAMI, FL 33165(786) 360-4425(786) 360-4461 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2020, Jul 21, 2020, Jul 9, 2020 (3 updates tracked since 2020).

About Jose Luis Vilaro Valderrabano Md NPPES

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

JOSE LUIS VILARO VALDERRABANO MD (NPI 1093127631) is an individual urology provider in Miami, Florida, licensed in Florida (ME144463) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1093127631
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSE LUIS VILARO VALDERRABANOCredential: MD
Location Address9920 SW 40TH STMiami, FL 33165-3944
Mailing Address3641 S Miami Ave Ste 170Miami, FL 33133-4219 · (305) 285-2767
Phone(786) 360-4425
Fax(786) 360-4461
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 2, 2014
Last NPPES UpdateMarch 20, 20223 updates tracked since enumeration
NPPES CertifiedMarch 20, 2022
✔ NPI 1093127631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME144463
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
9920 SW 40TH ST, Miami, FL 33165
Open in Google Maps ↗

Secondary Practice Location 1

Location 13641 S Miami Ave Ste 170Miami, FL 33133-4219 · Phone (305) 285-2767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Luis Vilaro Valderrabano 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 ID6406192822
PECOS Enrollment IDI20200811003251
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.

Areas of Expertise CMS Part B claims 6

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.
91 services50 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.
54 services54 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.
53 services16 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
47 services43 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.
35 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services29 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33165 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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

Breast Cancer Screening
0%155 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%219 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
57%2,195 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%359 patients1/55-star benchmark: 100%
HIV Screening
1%951 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%1,281 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,281 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%2,039 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 779 patients
0%779 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 384 patients
Patients totalRate: 1% · 384 patients
1%384 patients4/55-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

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

KAREL MANUEL DE LEON M.D.
Psychiatry & Neurology (Psychiatry)
9920 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (786) 360-4425

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 Jose Vilaro Valderrabano's NPI number?

The NPI number for Jose Vilaro Valderrabano is 1093127631. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Where is Jose Vilaro Valderrabano located?

Jose Vilaro Valderrabano practices at 9920 SW 40th St, Miami, FL 33165. The listed phone number is (786) 360-4425.

What is Jose Vilaro Valderrabano's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jose Vilaro Valderrabano enrolled in Medicare?

Yes. Jose Vilaro Valderrabano 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.

What insurance does Jose Vilaro Valderrabano accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Jose Vilaro Valderrabano 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 Jose Vilaro Valderrabano affiliated with any hospitals?

According to CMS data, Jose Vilaro Valderrabano is affiliated with South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Jose Vilaro Valderrabano was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.