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PAUL R SWEENEY MD
NPI 1174693345
Internal Medicine - Rheumatology in Miami, FL

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
3661 S MIAMI AVE, 801, MIAMI, FL 33133(305) 860-6260 Get Directions Write a Review

NPPES record last updated: August 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2016, Jun 21, 2016 (2 updates tracked since 2016).

About Paul R Sweeney Md NPPES

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

PAUL R SWEENEY MD (NPI 1174693345) is an individual rheumatology provider in Miami, Florida, licensed in Florida (ME104868) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2003).

NPPES Registry Identity

NPI1174693345
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NamePAUL R SWEENEYCredential: MD
Location Address3661 S MIAMI AVE, 801Miami, FL 33133-4223
Mailing Address3661 S Miami Ave, 801Miami, FL 33133-4223 · (305) 860-6260
Phone(305) 860-6260
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2003
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 27, 20162 updates tracked since enumeration
✔ NPI 1174693345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME104868
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3661 S MIAMI AVE, Miami, FL 33133
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Other Identifiers 1

Medicare PINB21332FL

Accepted Insurance

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

Paul R Sweeney 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 ID4486757168
PECOS Enrollment IDI20090731000546
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 3

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.

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.
56 services37 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.
42 services28 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
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 20

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

ROSENDO GALBAN C.S.A
Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Miami-Dade County (305) 856-1002
DR. FERNANDO JULIO ALVAREZ PEREZ M.D.
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Miami-Dade County (305) 854-9966
MS. ANA G. MARTINEZ FUENTES CRNA
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 652-8600
CARLOS M DE CESPEDES JR,MD.P.A.
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Miami-Dade County (305) 556-7809
J ARTHUR BOLT
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
AYMARAH M ROBLES MD PA
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 858-2282
JEFFREY LEE HORSTMYER M.D
Specialist
3661 S MIAMI AVE, SUITE 209
MIAMI, FL 33133
Miami-Dade County (305) 856-8942

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 Paul Sweeney's NPI number?

The NPI number for Paul Sweeney is 1174693345. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Paul Sweeney located?

Paul Sweeney practices at 3661 S Miami Ave 801, Miami, FL 33133. The listed phone number is (305) 860-6260.

What is Paul Sweeney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Paul Sweeney enrolled in Medicare?

Yes. Paul Sweeney 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 Paul Sweeney accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Paul Sweeney 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.

When was this NPI record last updated?

The NPPES record for Paul Sweeney was last updated on August 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.