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ALFREDO SANCHEZ-FORTIS M.D.
NPI 1194759928
Specialist in Miami Shores, FL

Active since July 10, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1013743 · Waiver
0/100
CMS Quality Rating
9999 NE 2ND AVE, SUITE 119, MIAMI SHORES, FL 33138(305) 756-4400(305) 756-4484 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alfredo Sanchez-fortis M.d. NPPES

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

ALFREDO SANCHEZ-FORTIS M.D. (NPI 1194759928) is an individual specialist in Miami Shores, Florida, licensed in Florida (ME64654) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 16, 2027, and is affiliated with Jackson Health System.

NPPES Registry Identity

NPI1194759928
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameALFREDO SANCHEZ-FORTISCredential: M.D.
Location Address9999 NE 2ND AVE, SUITE 119Miami Shores, FL 33138-2352
Mailing Address9999 Ne 2nd Ave, Suite 119Miami Shores, FL 33138-2352 · (305) 756-4400 · Fax (305) 756-4484
Phone(305) 756-4400
Fax(305) 756-4484
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1194759928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME64654
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.
9999 NE 2ND AVE, Miami Shores, FL 33138
Open in Google Maps ↗

Other Identifiers 6

Other25435FL · Bcbs Provider
OtherME64654FL · Medical License
Medicare UPINF84911FL
Medicare PINAH285FL
Medicare ID-Type Unspecified25435AFL
Medicare OSCAR/certification25435YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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

Alfredo Sanchez-fortis 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 ID840101853
PECOS Enrollment IDI20080109000163
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1013743

Alfredo Sanchez Fortis MD PA · Miami, FL
Active · expires Jun 16, 2027
CLIA Number10D1013743
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorAlfredo Sanchez Fortis
Laboratory Phone(305) 756-4400
Laboratory LocationAlfredo Sanchez Fortis MD PA11440 NW 7th Ave, Miami, FL 33168
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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 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.
446 services107 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
273 services55 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
220 services40 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.
168 services123 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.
143 services115 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
54 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

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

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%148 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%68 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%414 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%148 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%195 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
97%158 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 122 patients
100%122 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 148 patients
0%148 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims450 services$0.29 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$15.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers11 claims11 services$17.26 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.

CORVA CLINICS, LLC - MIAMI SHORES
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
9999 NE 2ND AVE
MIAMI SHORES, FL 33138
Miami-Dade County (305) 756-4400
LEON & GONZALEZ, CORP
Specialist
9999 NE 2ND AVE, SUITE 204
MIAMI SHORES, FL 33138
Miami-Dade County (787) 627-9258
MR. JEFFREY A MILLER LCSW
Social Worker (Clinical)
9999 NE 2ND AVE
MIAMI SHORES, FL 33138
Miami-Dade County (786) 218-7937
KATHERINE LOUISE HERNANDEZ
Behavior Technician
9999 NE 2ND AVE
MIAMI SHORES, FL 33138
Miami-Dade County (954) 871-1119
DR. JOEL VACCAREZZA DDS
Dentist (General Practice)
9999 NE 2ND AVE, SUITE #308
MIAMI SHORES, FL 33138
Miami-Dade County (305) 757-6991
JEFFREY A MILLER LCSW
Social Worker (Clinical)
9999 NE 2ND AVE, STE 301
MIAMI SHORES, FL 33138
Miami-Dade County (786) 218-7937
ROBIN ANN AVERY PH.D.
Clinical Neuropsychologist
9999 NE 2ND AVE, SUITE 209, E
MIAMI SHORES, FL 33138
Miami-Dade County (786) 615-4758
PHYSICIAN ACCESS URGENT CARE GROUP, LLC OF CENTRAL FLORIDA
Contractor
9999 NE 2ND AVE, SUITE 209
MIAMI SHORES, FL 33138
Miami-Dade County (786) 517-1530

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 Sanchez-fortis's NPI number?

The NPI number for Alfredo Sanchez-fortis is 1194759928. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Alfredo Sanchez-fortis located?

Alfredo Sanchez-fortis practices at 9999 NE 2nd Ave Suite 119, Miami Shores, FL 33138. The listed phone number is (305) 756-4400.

What is Alfredo Sanchez-fortis's specialty?

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

Is Alfredo Sanchez-fortis enrolled in Medicare?

Yes. Alfredo Sanchez-fortis 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.

Does Alfredo Sanchez-fortis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1013743) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alfredo Sanchez-fortis accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Alfredo Sanchez-fortis 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 Sanchez-fortis affiliated with any hospitals?

According to CMS data, Alfredo Sanchez-fortis is affiliated with Jackson Health System and Steward North Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Alfredo Sanchez-fortis was last updated on February 21, 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.