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JANELIS GONZALEZ MD
NPI 1255835229
Internal Medicine in Miami, FL

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1150 NW 14TH ST FL 4, MIAMI, FL 33136(305) 243-4000(305) 243-4966 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2024, Jun 10, 2022, Apr 30, 2021 and 1 more (4 updates tracked since 2018).

About Janelis Gonzalez Md NPPES

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

JANELIS GONZALEZ MD (NPI 1255835229) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME148955) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255835229
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJANELIS GONZALEZCredential: MD
Location Address1150 NW 14TH ST FL 4Miami, FL 33136-2137
Mailing Address1150 Nw 14th St Fl 4Miami, FL 33136-2137 · (305) 243-4000
Phone(305) 243-4000
Fax(305) 243-4966
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateOctober 1, 20244 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1255835229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME148955
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.
1150 NW 14TH ST FL 4, Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Janelis Gonzalez 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 ID7416208855
PECOS Enrollment IDI20210608000648
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

2

Medicare enrollment records show Janelis Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
Same address
Urology
1150 NW 14TH ST, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1154371458 (305) 243-7688
Florida Clinical Practice Association Inc
296 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services63 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.
17 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
12 services12 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
85%34 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
1%83 patients
Breast Cancer Screening
68%276 patients3/55-star benchmark: 93%
Cervical Cancer Screening
45%473 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
43%21 patients
Colorectal Cancer Screening
55%521 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
71%290 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
45%141 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%141 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,718 patients4/55-star benchmark: 100%
e-Prescribing
100%805 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%222 patients5/55-star benchmark: 100%
HIV Screening
63%875 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
75%990 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%818 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%1,122 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 770 patients
Patients screened: 99% · 770 patients
58%36 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%343 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 238 patients
Patients totalRate: 25% · 238 patients
24%238 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. GERMAN LOPEZ MD
Internal Medicine
1150 NW 14TH ST FL 4
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
MARIANNE RAMIREZ CABRERA APRN
Nurse Practitioner (Family)
1150 NW 14TH ST FL 4
MIAMI, FL 33136
Miami-Dade County (305) 243-5505

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 Janelis Gonzalez's NPI number?

The NPI number for Janelis Gonzalez is 1255835229. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Janelis Gonzalez located?

Janelis Gonzalez practices at 1150 NW 14th St Fl 4, Miami, FL 33136. The listed phone number is (305) 243-4000.

What is Janelis Gonzalez's specialty?

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

Is Janelis Gonzalez enrolled in Medicare?

Yes. Janelis Gonzalez 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 Janelis Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janelis Gonzalez reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Florida Clinical Practice Association Inc (Gainesville, 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 Janelis Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janelis Gonzalez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Janelis Gonzalez 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 Janelis Gonzalez affiliated with any hospitals?

According to CMS data, Janelis Gonzalez is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Janelis Gonzalez was last updated on October 1, 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.