DR. HUMBERTO CARLOS MACHADO JR. M.D.
NPI 1225079668
Internal Medicine - Cardiovascular Disease in Coral Gables, FL

Q: What is Humberto Machado's NPI number?

The NPI number for Humberto Machado is 1225079668. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Humberto Machado's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Humberto Machado was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

45/100

CMS Quality Rating

747 PONCE DE LEON BLVD, SUITE 405, CORAL GABLES, FL 33134(305) 529-9901(305) 569-3011 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Aug 25, 2017 (2 updates tracked since 2017).

On this page

About Dr. Humberto Carlos Machado Jr. M.d. NPPES

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

DR. HUMBERTO CARLOS MACHADO JR. M.D. (NPI 1225079668) is an individual cardiovascular disease provider in Coral Gables, Florida, licensed in Florida (ME77677) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225079668

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. HUMBERTO CARLOS MACHADO JR.Credential: M.D.

Location Address747 PONCE DE LEON BLVD, SUITE 405Coral Gables, FL 33134-2049

Mailing Address747 Ponce De Leon Blvd Ste 503Coral Gables, FL 33134-2073 · (305) 529-9901 · Fax (305) 569-3011

Phone(305) 529-9901

Fax(305) 569-3011

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJune 9, 2006

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1225079668 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 · ME77677

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.

747 PONCE DE LEON BLVD, Coral Gables, FL 33134

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Other Identifiers 1

Medicaid260427200FL

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

Dr. Humberto Carlos Machado Jr. 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 ID8921088899

PECOS Enrollment IDI20040723000261

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 Humberto Machado reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Humberto C Machado Jr MD PA

Same address

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

Mercy Ekg & Echo Readers, Inc

3.2 mi

Cardiovascular Disease

3663 S MIAMI AVE
Miami, FL 33133

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

NPI 1356433023 (305) 665-4614

Life Radiology LLC

5.3 mi

Radiology

3470 NW 82ND AVE, SUITE 119
Doral, FL 33122

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

NPI 1588111488 (786) 446-8541

Echo Readers Of East Hialeah Inc

5.6 mi

Cardiovascular Disease

651 E 25TH ST
Hialeah, FL 33013

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

NPI 1275567257 (305) 835-4206

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 22

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.

817 services454 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.

320 services291 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

302 services151 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.

279 services271 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

244 services61 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

154 services154 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

151 services151 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.

131 services131 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

115 services79 patients

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

89 services85 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

80 services79 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

52 services49 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.

52 services42 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

37 services26 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

36 services31 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

27 services15 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

24 services24 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

23 services17 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

20 services14 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

20 services17 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

19 services14 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County

Emergency services Birthing friendly

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100183

Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County

Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers30 claims56 services$5.09 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.

LUIS R GARCIA-MAYOL MD

Internal Medicine (Nephrology)

747 PONCE DE LEON BLVD, SUITE 605
CORAL GABLES, FL 33134

Miami-Dade County (305) 445-4535

FRANKLIN PIMENTEL M.D.P.A.

Internal Medicine

747 PONCE DE LEON BLVD, SUITE 408
CORAL GABLES, FL 33134

Miami-Dade County (305) 445-0700

MARTHA BOFILL & ASSOCIATES PSY CORP

Psychologist (Clinical)

747 PONCE DE LEON BLVD, SUITE 501
CORAL GABLES, FL 33134

Miami-Dade County (786) 587-2617

FRANCISCO J RICART MD PA

Psychiatry & Neurology (Psychiatry)

747 PONCE DE LEON BLVD, SUITE 600
CORAL GABLES, FL 33134

Miami-Dade County (305) 441-5880

AGUILAR & BALLEN PA

Specialist

747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134

Miami-Dade County (305) 774-5700

RAISA CORTES FONTANET

Dentist (General Practice)

747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134

Miami-Dade County (305) 444-8591

MICHEL HERNANDEZ HERNANDEZ APRN

Nurse Practitioner

747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134

Miami-Dade County (305) 529-9901

FLORIDA GERIATRICS ASSOCIATES, INC

Internal Medicine (Geriatric Medicine)

747 PONCE DE LEON BLVD, SUITE 607
CORAL GABLES, FL 33134

Miami-Dade County (305) 444-7779

MR. MARC JACQUES BARBIER

Technician/Technologist (Optician)

747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134

Miami-Dade County (305) 774-5700

DR. JORGE LUIS POSADA MD

Internal Medicine (Nephrology)

747 PONCE DE LEON BLVD, SUITE 605
CORAL GABLES, FL 33134

Miami-Dade County (305) 445-4535

DR. CESAR RENE SABATES DDS

Dentist (General Practice)

747 PONCE DE LEON BLVD, SUITE 609
CORAL GABLES, FL 33134

Miami-Dade County (305) 448-7217

YITZHAK GREENBERG

Non-emergency Medical Transport (VAN)

747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134

Miami-Dade County (305) 934-8090

CARLOS A SABATES MD

Internal Medicine (Cardiovascular Disease)

747 PONCE DE LEON BLVD, SUITE 602
MIAMI, FL 33134

Miami-Dade County (305) 443-9342

DR. FRANKLIN PIMENTEL SR. M.D.

Internal Medicine

747 PONCE DE LEON BLVD, SUITE # 408
CORAL GABLES, FL 33134

Miami-Dade County (305) 445-0700

MARC BARBIER

Durable Medical Equipment & Medical Supplies (Customized Equipment)

747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134

Miami-Dade County (305) 774-5700

DR. JUAN PEDRO AGUILAR M.D.

Ophthalmology

747 PONCE DE LEON BLVD, SUITE 402
CORAL GABLES, FL 33134

Miami-Dade County (305) 774-5700

CORAL GABLES MRI INC

Clinic/Center (Magnetic Resonance Imaging (MRI))

747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134

Miami-Dade County (305) 446-7893

ELEONOR PIMENTEL M.D.

Internal Medicine

747 PONCE DE LEON BLVD, SUITE 408
CORAL GABLES, FL 33134

Miami-Dade County (305) 445-0700

DR. CARLOS ALBERTO SELEMA MD

Internal Medicine (Gastroenterology)

747 PONCE DE LEON BLVD, SUITE 510
CORAL GABLES, FL 33134

Miami-Dade County (305) 443-2611

DR. BENJAMIN R HOFFMAN M.D.

Radiology (Diagnostic Radiology)

747 PONCE DE LEON BLVD
CORAL GABLES, FL 33134

Miami-Dade County (954) 531-5360

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 Humberto Machado's NPI number?

The NPI number for Humberto Machado is 1225079668. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Humberto Machado located?

Humberto Machado practices at 747 Ponce De Leon Blvd Suite 405, Coral Gables, FL 33134. The listed phone number is (305) 529-9901.

What is Humberto Machado's specialty?

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

Is Humberto Machado enrolled in Medicare?

Yes. Humberto Machado 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 Humberto Machado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Humberto Machado reassigns Medicare benefits to 4 organizations: Humberto C Machado Jr MD PA (Coral Gables, FL), Mercy Ekg & Echo Readers, Inc (Miami, FL), Life Radiology LLC (Doral, FL) and Echo Readers Of East Hialeah Inc (Hialeah, 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 Humberto Machado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Humberto Machado accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Humberto Machado 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 Humberto Machado affiliated with any hospitals?

According to CMS data, Humberto Machado is affiliated with Hca Florida Mercy Hospital, Steward Coral Gables Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Humberto Machado was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.