LUIS FRANCISCO HIDALGO PONCE MD
NPI 1144585233
Internal Medicine - Cardiovascular Disease in Miami, FL

Q: What is Luis Hidalgo Ponce's NPI number?

The NPI number for Luis Hidalgo Ponce is 1144585233. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Q: What is Luis Hidalgo Ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment

20801 NW 2ND AVE, MIAMI, FL 33169(305) 653-1770(786) 725-3453 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Luis Francisco Hidalgo Ponce Md NPPES

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

LUIS FRANCISCO HIDALGO PONCE MD (NPI 1144585233) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME154255) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144585233

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameLUIS FRANCISCO HIDALGO PONCECredential: MD

Location Address20801 NW 2ND AVEMiami, FL 33169-2103

Mailing Address20801 Nw 2nd AveMiami, FL 33169-2103 · (305) 653-1770 · Fax (786) 725-3453

Phone(305) 653-1770

Fax(786) 725-3453

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 5, 2012

Last NPPES UpdateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1144585233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · ME154255

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

20801 NW 2ND AVE, Miami, FL 33169

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Francisco Hidalgo Ponce 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 ID6507007432

PECOS Enrollment IDI20220106000385

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.

Medicare Billing Reassignments

Medicare enrollment records show Luis Hidalgo Ponce reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chen Neighborhood Medical Centers Of South Florida, LLC

3.0 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Florida enrollment
221 clinicians in this Medicare group

NPI 1881024800 (305) 628-6117

Holy Cross Hospital Inc

16 mi

Internal Medicine

4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308

Reassigned Medicare billing, Florida enrollment
393 clinicians in this Medicare group

NPI 1467401877 (954) 351-4702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

325 services279 patients

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.

272 services185 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.

247 services145 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

157 services155 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

118 services103 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.

111 services110 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.

106 services106 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.

66 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

57 services35 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

23 services23 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

23 services23 patients

3d ultrasound imaging of heart for evaluation of heart structure performed during ultrasound imaging of congenital heart defects 93319

3D ultrasound imaging of the heart is a non-invasive procedure that uses sound waves to create a detailed three-dimensional image of your heart. This helps in evaluating the heart's structure, particularly for diagnosing congenital heart defects. It is safe, painless and provides valuable information about your heart health.

19 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services12 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

11 services11 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100073

Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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.

Other Providers at the Same Location NPPES 16

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

DR. MICHAEL JOSEPH M.D.

Internal Medicine

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

CHEN MEDICAL 441, INC

Specialist

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

LUCAS RABENO FASOLO M.D.

Internal Medicine

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

GENET LAO LOO ARNP

Nurse Practitioner (Family)

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

MARBELYS ESQUIJAROSA

Behavior Technician

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

SANDRA JANET RAMIREZ MSW

Social Worker

20801 NW 2ND AVE, CHEN MEDICAL COUNTY LINE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

DIEGO M RODRIGUEZ MD

Internal Medicine

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

ARIADNA MARIA DELVASTO MD

Family Medicine

20801 NW 2ND AVE
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 653-1770

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 Luis Hidalgo Ponce's NPI number?

The NPI number for Luis Hidalgo Ponce is 1144585233. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Luis Hidalgo Ponce located?

Luis Hidalgo Ponce practices at 20801 NW 2nd Ave, Miami, FL 33169. The listed phone number is (305) 653-1770.

What is Luis Hidalgo Ponce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Hidalgo Ponce enrolled in Medicare?

Yes. Luis Hidalgo Ponce 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.

Which organizations bill Medicare for Luis Hidalgo Ponce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Hidalgo Ponce reassigns Medicare benefits to 2 organizations: Chen Neighborhood Medical Centers Of South Florida, LLC (Miami Gardens, FL) and Holy Cross Hospital Inc (Ft. Lauderdale, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Hidalgo Ponce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Hidalgo Ponce accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Luis Hidalgo Ponce 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 Luis Hidalgo Ponce affiliated with any hospitals?

According to CMS data, Luis Hidalgo Ponce is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Luis Hidalgo Ponce was last updated on March 22, 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.