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DR. JOSE ALBERTO CHI M.D
NPI 1205274164
Family Medicine in Sweetwater, FL

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
91.79/100
CMS Quality Rating
2100 NW 107TH AVE STE 108, SWEETWATER, FL 33172(786) 625-7100 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2021, Oct 17, 2017 (2 updates tracked since 2017).

About Dr. Jose Alberto Chi M.d NPPES

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

DR. JOSE ALBERTO CHI M.D (NPI 1205274164) is an individual family medicine provider in Sweetwater, Florida, licensed in Florida (ME144676) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1205274164
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSE ALBERTO CHICredential: M.D
Location Address2100 NW 107TH AVE STE 108Sweetwater, FL 33172-2506
Mailing Address3601 4th St Stop 8143Lubbock, TX 79430-8143 · (806) 743-2757
Phone(786) 625-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 12, 2013
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
✔ NPI 1205274164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME144676✔ Licensed in TX · Q6404
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2100 NW 107TH AVE STE 108, Sweetwater, FL 33172
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Other Names 1

Other Name (5)Jose Chi M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next 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

Dr. Jose Alberto Chi 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 ID9638477037
PECOS Enrollment IDI20210809003699
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 4

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.
253 services99 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.
222 services82 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
118 services115 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.
67 services66 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33172 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

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.

91.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.77
Improvement Activities40
Cost98.4

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$19.98 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 4

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

DR. ROBERTO GUERRA DEL CASTILLO MD
Internal Medicine (Cardiovascular Disease)
2100 NW 107TH AVE STE 108
SWEETWATER, FL 33172
Miami-Dade County (786) 625-7100
PONSOL HEALTH LLC
Internal Medicine
2100 NW 107TH AVE STE 108
SWEETWATER, FL 33172
Miami-Dade County (786) 625-7100
PONSOL FOUNTAINBLUE, LLC
Clinic/Center
2100 NW 107TH AVE STE 108
SWEETWATER, FL 33172
Miami-Dade County (786) 625-7100
ELIZABETH GUTIERREZ APRN
Nurse Practitioner (Family)
2100 NW 107TH AVE STE 108
MIAMI, FL 33172
Miami-Dade County (786) 625-7100

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 Chi's NPI number?

The NPI number for Jose Chi is 1205274164. It was assigned to this individual provider in the NPPES registry on June 12, 2013. The provider is also known as Jose Chi M.D.

Where is Jose Chi located?

Jose Chi practices at 2100 NW 107th Ave Ste 108, Sweetwater, FL 33172. The listed phone number is (786) 625-7100.

What is Jose Chi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Chi enrolled in Medicare?

Yes. Jose Chi 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 Chi accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Jose Chi 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 Chi affiliated with any hospitals?

According to CMS data, Jose Chi is affiliated with Mount Sinai Medical Center Of Florida, Inc and Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Jose Chi was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.