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

Q: 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.

Q: What is Manuel Fonseca-crescioni's specialty?

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

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: August 09, 2026.

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

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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 AvMed, 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

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.

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.

What insurance does Manuel Fonseca-crescioni accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company 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.