AGUSTIN ANDRADE MD
NPI 1104869064
Specialist in Miami Beach, FL

Active since June 14, 2006Opted out of Medicare · through Jan 1, 2028
14.15/100
CMS Quality Rating
4302 ALTON RD, SUITE 200, MIAMI BEACH, FL 33140(305) 672-7560 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agustin Andrade Md NPPES

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

AGUSTIN ANDRADE MD (NPI 1104869064) is an individual specialist in Miami Beach, Florida, licensed in (ME67832) and active in the NPI registry since June 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104869064
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameAGUSTIN ANDRADECredential: MD
Location Address4302 ALTON RD, SUITE 200Miami Beach, FL 33140-2891
Mailing Address4302 Alton Rd, Suite 200Miami Beach, FL 33140-2891 · (305) 672-7560
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 9, 2008
NPI 1104869064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed · ME67832
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4302 ALTON RD, Miami Beach, FL 33140

Other Identifiers 3

Medicare PIN27328WFL
OtherDD4618FL · Railroad Medicare
Medicare UPING11117FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Agustin Andrade Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

14.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost47.19

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers34 claims79 services$5.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers34 claims34 services$205.75 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 20

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

Orthopaedic Surgery (Hand Surgery)
4302 ALTON RD, SUITE 710
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 300
MIAMI BEACH, FL 33140
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Nurse Practitioner (Acute Care)
4302 ALTON RD
MIAMI BEACH, FL 33140
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 900
MIAMI BEACH, FL 33140
Internal Medicine
4302 ALTON RD, SUITE 320
MIAMI BEACH, FL 33140
Surgery
4302 ALTON RD, SUITE 540
MIAMI BEACH, FL 33140

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 Agustin Andrade's NPI number?

The NPI number for Agustin Andrade is 1104869064. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Agustin Andrade located?

Agustin Andrade practices at 4302 Alton Rd Suite 200, Miami Beach, FL 33140. The listed phone number is (305) 672-7560.

What is Agustin Andrade's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Agustin Andrade enrolled in Medicare?

No. Agustin Andrade has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Agustin Andrade was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.