DR. ALFREDO JORGE MELGAR MD
NPI 1093981912
General Practice in Miami, FL

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
7.89/100
CMS Quality Rating
9090 SW 87TH CT STE 104, MIAMI, FL 33176(305) 848-3998(305) 489-7614 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Mar 4, 2024, Feb 8, 2024 and 2 more (5 updates tracked since 2016).

About Dr. Alfredo Jorge Melgar Md NPPES

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

DR. ALFREDO JORGE MELGAR MD (NPI 1093981912) is an individual general practice provider in Miami, Florida, licensed in Florida (ME102762) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1093981912
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ALFREDO JORGE MELGARCredential: MD
Location Address9090 SW 87TH CT STE 104Miami, FL 33176-2317
Mailing Address8901 Sw 82nd StMiami, FL 33173-4129 · (305) 848-3998 · Fax (305) 489-7614
Fax(305) 489-7614
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateApril 30, 2008
Last NPPES UpdateFebruary 18, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1093981912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME102762
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License ME1027962 (FL)
9090 SW 87TH CT STE 104, Miami, FL 33176

Other Names 1

Other Name (5)Dr. Alfredo J De Melgar Garcia Del Busto Md

Other Identifiers 1

Medicaid000717700FL

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

Dr. Alfredo Jorge Melgar 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 ID8426114398
PECOS Enrollment IDI20090227000439
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 20

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, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
6,450 services549 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
4,836 services661 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
573 services46 patients
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.
558 services130 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.
508 services385 patients
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.
447 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

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.

7.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost26.33

Referred Medical Equipment & Supplies CMS DME claims 40

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier31 claims32 services$6.12 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
5 suppliers42 claims42 services$20.27 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier31 claims32 services$11.45 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
6 suppliers65 claims98 services$9.24 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers17 claims448 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
2 suppliers39 claims2,143 services$0.35 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.

General Practice
9090 SW 87TH CT STE 104
MIAMI, FL 33176

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 Alfredo Melgar's NPI number?

The NPI number for Alfredo Melgar is 1093981912. It was assigned to this individual provider in the NPPES registry on April 30, 2008. The provider is also known as Dr. Alfredo J De Melgar Garcia Del Busto MD.

Where is Alfredo Melgar located?

Alfredo Melgar practices at 9090 SW 87th Ct Ste 104, Miami, FL 33176. The listed phone number is (305) 848-3998.

What is Alfredo Melgar's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alfredo Melgar enrolled in Medicare?

Yes. Alfredo Melgar 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 Alfredo Melgar accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Alfredo Melgar 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 Alfredo Melgar affiliated with any hospitals?

According to CMS data, Alfredo Melgar is affiliated with Larkin Community Hospital Palm Springs Campus, Larkin Community Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Alfredo Melgar was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.