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DR. MANUEL FONSECA-CRESCIONI MD
NPI 1235688656
Internal Medicine in Aventura, FL

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
HCA FLORIDA AVENTURA HOSPITAL, 20900 BISCAYNE BLVD, AVENTURA, FL 33180(305) 682-7000 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2022, Jul 23, 2021, Jul 6, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Manuel Fonseca-crescioni Md NPPES

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

DR. MANUEL FONSECA-CRESCIONI MD (NPI 1235688656) is an individual internal medicine provider in Aventura, Florida, licensed in Florida (ME-157669) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in San German.

NPPES Registry Identity

NPI1235688656
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANUEL FONSECA-CRESCIONICredential: MD
Location AddressHCA FLORIDA AVENTURA HOSPITAL, 20900 BISCAYNE BLVDAventura, FL 33180
Mailing Address20900 Biscayne BlvdAventura, FL 33180-1407
Phone(305) 682-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2016
Last NPPES UpdateJuly 7, 20226 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1235688656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME-157669
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 35510-R (PR)
HCA FLORIDA AVENTURA HOSPITAL, Aventura, FL 33180
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Secondary Practice Location 1

Location 1CARR 2 KM 173San German, PR 00683 · Phone (787) 892-1860

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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. Manuel Fonseca-crescioni Md 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 ID5092188680
PECOS Enrollment IDI20230301002160
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

3

Medicare enrollment records show Manuel Fonseca-crescioni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Fl, LLC
0.8 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Seasons Medical Group Of Florida PA
9.9 mi
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1710238381 (877) 731-9299
Catholic Palliative Care Services, Inc.
12 mi
Hospice and Palliative Medicine
14875 NW 77TH AVE, SUITE 100
Miami Lakes, FL 33014
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
NPI 1861822363 (305) 351-7057

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 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 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.
73 services47 patients
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.
65 services44 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.
33 services33 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.
15 services15 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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 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
$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.

Other Providers at the Same Location NPPES

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

NATALIA IBANEZ MD
Student in an Organized Health Care Education/Training Program
HCA FLORIDA AVENTURA HOSPITAL, 20900 BISCAYNE BLVD
AVENTURA, FL 33180
Miami-Dade County (305) 343-8254

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 Manuel Fonseca-crescioni's NPI number?

The NPI number for Manuel Fonseca-crescioni is 1235688656. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Manuel Fonseca-crescioni located?

Manuel Fonseca-crescioni practices at Hca Florida Aventura Hospital 20900 Biscayne Blvd, Aventura, FL 33180. The listed phone number is (305) 682-7000.

What is Manuel Fonseca-crescioni's specialty?

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

Is Manuel Fonseca-crescioni enrolled in Medicare?

Yes. Manuel Fonseca-crescioni 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 Manuel Fonseca-crescioni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Fonseca-crescioni reassigns Medicare benefits to 3 organizations: Hospital Medicine Services Of Fl, LLC (Aventura, FL), Seasons Medical Group Of Florida PA (Miami, FL) and Catholic Palliative Care Services, Inc. (Miami Lakes, 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 Manuel Fonseca-crescioni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Fonseca-crescioni accept?

Health plans from Oscar Health Maintenance Organization of Florida list Manuel Fonseca-crescioni 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 Manuel Fonseca-crescioni affiliated with any hospitals?

According to CMS data, Manuel Fonseca-crescioni is affiliated with Mount Sinai Medical Center Of Florida, Inc and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Fonseca-crescioni was last updated on July 7, 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.