ROBERTO NAVARRO M.D.,
NPI 1235295643
Internal Medicine in El Centro, CA

Q: What is Roberto Navarro's NPI number?

The NPI number for Roberto Navarro is 1235295643. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Roberto Navarro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Navarro was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment

69.85/100

CMS Quality Rating

1415 ROSS AVE, EL CENTRO, CA 92243(760) 482-5075 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Roberto Navarro M.d., NPPES

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

ROBERTO NAVARRO M.D., (NPI 1235295643) is an individual internal medicine provider in El Centro, California, licensed in Florida (ME143385) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2005).

NPPES Registry Identity

NPI1235295643

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameROBERTO NAVARROCredential: M.D.,

Location Address1415 ROSS AVEEl Centro, CA 92243-4306

Mailing Address1415 Ross AveEl Centro, CA 92243-4306 · (760) 482-5075

Phone(760) 482-5075

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2005

Enumeration DateDecember 29, 2006

Last NPPES UpdateMay 26, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1235295643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME143385✔ Licensed in CA · A120014✔ Licensed in NY · 241637

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1415 ROSS AVE, El Centro, CA 92243

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Roberto Navarro 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 ID9133311566

PECOS Enrollment IDI20120621000407

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.

109 services44 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

30 services30 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.

18 services16 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92243 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

$134.04 typical visit price

range $58.90 – $176.72

Typical copayment $33.51 (range $14.72 – $44.18)

Most-billed visit code 99204

Established Patient

$103.42 typical visit price

range $19.28 – $144.68

Typical copayment $25.85 (range $4.82 – $36.17)

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.

69.85/100

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

Scored as part of a group practice

Quality

57.55

Cost

68.12

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 suppliers12 claims12 services$19.24 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.

SAN DIEGO HOSPITAL BASED PHYSICIAN

Internal Medicine