ISABEL RICO M.D.
NPI 1245333145
General Practice in Miami, FL

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
15.08/100
CMS Quality Rating
970 SW 82ND AVE, MIAMI, FL 33144(305) 263-1075(305) 263-1077 Get Directions Write a Review

NPPES record last updated: September 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isabel Rico M.d. NPPES

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

ISABEL RICO M.D. (NPI 1245333145) is an individual general practice provider in Miami, Florida, licensed in Florida (ME90131) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Keralty Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1245333145
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameISABEL RICOCredential: M.D.
Location Address970 SW 82ND AVEMiami, FL 33144-4271
Mailing Address970 Sw 82nd AveMiami, FL 33144-4271 · (305) 263-1075 · Fax (305) 263-1077
Fax(305) 263-1077
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 28, 2013
NPI 1245333145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME90131
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
970 SW 82ND AVE, Miami, FL 33144

Other Identifiers 5

Other1159193FL · Coventry
Medicare UPINI38334FL
Other13102FL · Bcbs Of Fl
Medicare PINU5506ZFL
Medicaid281267300FL

Accepted 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

Isabel Rico 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 ID4486685427
PECOS Enrollment IDI20050830000039
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 11

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
699 services125 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.
280 services71 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.
181 services47 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
158 services93 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.
118 services90 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
114 services88 patients

Hospital Affiliations CMS Care Compare

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

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

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.

15.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost50.29

Referred Medical Equipment & Supplies CMS DME claims 12

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers31 claims62 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers122 claims319 services$6.64 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers78 claims78 services$2.93 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers29 claims29 services$1.71 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers107 claims146 services$1.15 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier28 claims7,560 services$20.42 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 2

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

Nurse Practitioner (Family)
970 SW 82ND AVE
MIAMI, FL 33144
General Practice
970 SW 82ND AVE
MIAMI, FL 33144

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 Isabel Rico's NPI number?

The NPI number for Isabel Rico is 1245333145. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Isabel Rico located?

Isabel Rico practices at 970 SW 82nd Ave, Miami, FL 33144. The listed phone number is (305) 263-1075.

What is Isabel Rico's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Isabel Rico enrolled in Medicare?

Yes. Isabel Rico 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 Isabel Rico accept?

Health plans from Molina Healthcare and UnitedHealthcare list Isabel Rico 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 Isabel Rico affiliated with any hospitals?

According to CMS data, Isabel Rico is affiliated with Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Isabel Rico was last updated on September 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.