MR. MIGUEL TOMAS ALMUNIA MD
NPI 1093760118
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
17.5/100
CMS Quality Rating
11880 SW BIRD RD, SUITE 219, MIAMI, FL 33175(305) 221-9921 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Miguel Tomas Almunia Md NPPES

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

MR. MIGUEL TOMAS ALMUNIA MD (NPI 1093760118) is an individual psychiatry provider in Miami, Florida, licensed in Florida (ME51138) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1093760118
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. MIGUEL TOMAS ALMUNIACredential: MD
Location Address11880 SW BIRD RD, SUITE 219Miami, FL 33175
Mailing Address11880 Sw Bird Rd, Suite 219Miami, FL 33175 · (305) 221-9921
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093760118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in FL · ME51138
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
11880 SW BIRD RD, Miami, FL 33175

Other Identifiers 7

Other07078FL · Bcbs
Medicare ID-Type Unspecified07078ZFL
Other592825841FL · Tax Id
OtherME51138FL · Medical Lic Number
Medicaid048175100FL
Medicare UPIND84934
Medicare ID-Type UnspecifiedK1783FL · Medicare Group #

Accepted 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

Mr. Miguel Tomas Almunia 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 ID4082884986
PECOS Enrollment IDI20110901000626
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 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 straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
888 services329 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.
88 services87 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
88 services42 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
59 services50 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.
56 services54 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
54 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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.

17.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Other Providers at the Same Location NPPES

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

Family Medicine
11880 SW BIRD RD, SUITE 219
MIAMI, FL 33175

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 Miguel Almunia's NPI number?

The NPI number for Miguel Almunia is 1093760118. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Miguel Almunia located?

Miguel Almunia practices at 11880 SW Bird Rd Suite 219, Miami, FL 33175. The listed phone number is (305) 221-9921.

What is Miguel Almunia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Miguel Almunia enrolled in Medicare?

Yes. Miguel Almunia 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 Miguel Almunia accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Miguel Almunia 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 Miguel Almunia affiliated with any hospitals?

According to CMS data, Miguel Almunia is affiliated with South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Almunia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.