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MR. JUSTIN ANTHONY MEDINA M.D.
NPI 1245807262
Internal Medicine in Miami, FL

Active since June 08, 2021PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-7341 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Jun 8, 2021 (2 updates tracked since 2021).

About Mr. Justin Anthony Medina M.d. NPPES

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

MR. JUSTIN ANTHONY MEDINA M.D. (NPI 1245807262) is an individual internal medicine provider in Miami, Florida, licensed in Georgia (98442) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Madison County Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245807262
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JUSTIN ANTHONY MEDINACredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136
Mailing Address1611 Nw 12th AveMiami, FL 33136 · (868) 772-2675
Phone(305) 585-7341
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2021
Last NPPES UpdateJanuary 20, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2024
✔ NPI 1245807262 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 GA · 98442
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
1611 NW 12TH AVE, Miami, FL 33136
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Anthony Medina M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143673889
PECOS Enrollment IDI20240129003361
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 Reassignment

Medicare enrollment records show Justin Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apogee Medical Group Georgia Inc
610 mi
Internal Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 335 clinicians in this Medicare group
NPI 1629025143 (770) 836-9667

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 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.
83 services42 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.
51 services51 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.
46 services46 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Madison County Memorial Hospital

Critical Access Hospitals · Madison, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101311
Location224 NW Crane AveMadison, FL 32340 · Madison County
Emergency services

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Clinch Memorial Hospital

Critical Access Hospitals · Homerville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111308
Location1050 Valdosta HighwayHomerville, GA 31634 · Clinch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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 20

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

DR. AKUA GYANEWAH ASARE MD
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 355-8264
MARILUZ SANCHEZ PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Miami-Dade County (305) 585-7309
DR. TASHA JOYTI N. D. COOKE TASHA COOKE
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3670
DR. JUANITA ANN MARIE HUNTER M.D.
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-6042
WANDA LAVERNE MCGOWAN-BRAYNEN ARNP
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1111
DR. PERTTI KALEVI HAKALA M.D.
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Miami-Dade County (305) 585-6970
JAYLOU M VELEZ TORRES M.D.
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-8381
ANNE-ISABELLE SOPHIA REME MD
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 585-1280

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 Justin Medina's NPI number?

The NPI number for Justin Medina is 1245807262. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Justin Medina located?

Justin Medina practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-7341.

What is Justin Medina's specialty?

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

Is Justin Medina enrolled in Medicare?

Yes. Justin Medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Medina reassigns Medicare benefits to Apogee Medical Group Georgia Inc (Carrollton, GA). The 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 Justin Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Medina accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Justin Medina 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 Justin Medina affiliated with any hospitals?

According to CMS data, Justin Medina is affiliated with Madison County Memorial Hospital, Sgmc Health and Clinch Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Medina was last updated on January 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.