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JOSE EDGARDO GAMEZ M.D
NPI 1134210271
Psychiatry & Neurology - Psychiatry in Hialeah, FL

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
7100 WEST 20TH AVENUE, SUITE 503, HIALEAH, FL 33016(305) 820-3381(305) 820-0937 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Edgardo Gamez M.d NPPES

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

JOSE EDGARDO GAMEZ M.D (NPI 1134210271) is an individual psychiatry provider in Hialeah, Florida, licensed in Florida (ME0057127) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1134210271
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOSE EDGARDO GAMEZCredential: M.D
Location Address7100 WEST 20TH AVENUE, SUITE 503Hialeah, FL 33016
Mailing Address7100 West 20th Avenue, Suite 503Hialeah, FL 33016 · (305) 820-3381 · Fax (305) 820-0937
Phone(305) 820-3381
Fax(305) 820-0937
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 23, 2011
✔ NPI 1134210271 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 · ME0057127
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.
7100 WEST 20TH AVENUE, Hialeah, FL 33016
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified11614FL
Medicare UPINE67918FL
Medicaid057209800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Wellpoint.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 Edgardo Gamez M.d 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 ID6901085653
PECOS Enrollment IDI20110126000975
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 11

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
842 services190 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.
814 services374 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.
448 services429 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.
367 services86 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.
165 services67 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.
153 services147 patients

Hospital Affiliations CMS Care Compare 4

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

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100053
Location651 E 25th StHialeah, FL 33013 · 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

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
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.

ALHAMBRA MEDICAL GROUP INC
Internal Medicine (Gastroenterology)
7100 WEST 20TH AVENUE, SUITE 506
HIALEAH, FL 33016
Miami-Dade County (305) 826-0002

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 Gamez's NPI number?

The NPI number for Jose Gamez is 1134210271. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jose Gamez located?

Jose Gamez practices at 7100 West 20th Avenue Suite 503, Hialeah, FL 33016. The listed phone number is (305) 820-3381.

What is Jose Gamez's specialty?

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

Is Jose Gamez enrolled in Medicare?

Yes. Jose Gamez 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 Gamez accept?

Health plans from Providence Health Plan and Wellpoint list Jose Gamez 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 Gamez affiliated with any hospitals?

According to CMS data, Jose Gamez is affiliated with Larkin Community Hospital Palm Springs Campus, Steward Hialeah Hospital, Larkin Community Hospital and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Jose Gamez was last updated on November 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.