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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAUL ALONSO M.D.
NPI 1194794438
Internal Medicine - Cardiovascular Disease in Hialeah, FL

Active since March 17, 2006PECOS Enrolled
84.6/100
CMS Quality Rating
1490 W 49TH PL STE 204, HIALEAH, FL 33012(786) 466-1320(305) 355-2480 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Oct 15, 2026, Jun 4, 2026 and 2 more (5 updates tracked since 2021).

About Raul Alonso M.d. NPPES

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

RAUL ALONSO M.D. (NPI 1194794438) is an individual cardiovascular disease provider in Hialeah, Florida, licensed in Florida (ME 0072859) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and maintains a secondary practice location in North Miami.

NPPES Registry Identity

NPI1194794438
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAUL ALONSOCredential: M.D.
Location Address1490 W 49TH PL STE 204Hialeah, FL 33012-3149
Mailing Address15476 Nw 77th Ct # 708Miami Lakes, FL 33016-5823 · (305) 336-1061 · Fax (786) 244-7862
Phone(786) 466-1320
Fax(305) 355-2480
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1995
Enumeration DateMarch 17, 2006
Last NPPES UpdateOctober 29, 20265 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1194794438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME 0072859
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.
1490 W 49TH PL STE 204, Hialeah, FL 33012
Open in Google Maps ↗

Secondary Practice Location 1

Location 11801 NE 123rd St Ste 400North Miami, FL 33181-2883 · Phone (305) 654-6850 · Fax (305) 654-6858

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul Alonso 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 ID143201848
PECOS Enrollment IDI20040527001244
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

5

Medicare enrollment records show Raul Alonso reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Public Health Trust Of Miami Dade County Florida
Same address
General Practice
1490 W 49TH PL STE 204
Hialeah, FL 33012
  • Reassigned Medicare billing, Florida enrollment
  • 570 clinicians in this Medicare group
NPI 1841149093 (305) 585-3701
Palmetto Ekg & Echo Readers, PA
1.6 mi
Cardiovascular Disease
2001 W 68TH ST
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1699870394 (305) 665-4614
Humberto C Machado Jr MD PA
7.8 mi
Cardiovascular Disease
747 PONCE DE LEON BLVD STE 503
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1598943169 (305) 529-9901
Hospital Innovation Physicians LLC
72 mi
Hospitalist
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group
NPI 1841708005 (305) 204-9318
Radiology & Imaging Specialists Of Lakeland, PA
177 mi
Diagnostic Radiology
4710 S FLORIDA AVE
Lakeland, FL 33813
  • Reassigned Medicare billing, Florida enrollment
  • 83 clinicians in this Medicare group
NPI 1851803407 (863) 688-2334

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 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.

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.
143 services91 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.
130 services127 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
52 services52 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.
40 services40 patients
Ultrasound of heart 93307
An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.
36 services33 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.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

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 33012 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.

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.

84.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost57.78

Other Providers at the Same Location NPPES 4

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

BETTER LIFE MEDICAL SERVICES CORP
Clinic/Center (Mental Health (Including Community Mental Health Center))
1490 W 49TH PL STE 204
HIALEAH, FL 33012
Miami-Dade County (305) 821-1711
BETTER LIFE MEDICAL SERVICES CORP
Case Management
1490 W 49TH PL STE 204
HIALEAH, FL 33012
Miami-Dade County (305) 821-1711
RAUL ALONSO MDPA
Internal Medicine (Cardiovascular Disease)
1490 W 49TH PL STE 204
HIALEAH, FL 33012
Miami-Dade County (305) 336-1061
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
General Practice
1490 W 49TH PL STE 204
HIALEAH, FL 33012
Miami-Dade County (305) 585-3701

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 Raul Alonso's NPI number?

The NPI number for Raul Alonso is 1194794438. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Raul Alonso located?

Raul Alonso practices at 1490 W 49th Pl Ste 204, Hialeah, FL 33012. The listed phone number is (786) 466-1320.

What is Raul Alonso's specialty?

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

Is Raul Alonso enrolled in Medicare?

Yes. Raul Alonso 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 Raul Alonso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Alonso reassigns Medicare benefits to 5 organizations: Public Health Trust Of Miami Dade County Florida (Hialeah, FL), Palmetto Ekg & Echo Readers, PA (Hialeah, FL), Humberto C Machado Jr MD PA (Coral Gables, FL), Hospital Innovation Physicians LLC (Clewiston, FL) and Radiology & Imaging Specialists Of Lakeland, PA (Lakeland, 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 Raul Alonso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Alonso accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 8 other insurers list Raul Alonso 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 Raul Alonso affiliated with any hospitals?

According to CMS data, Raul Alonso is affiliated with Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Raul Alonso was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.