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PEDRO COVAS M.D.
NPI 1285167239
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
15955 SW 96TH ST STE 301, MIAMI, FL 33196(786) 204-4205 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2025, Jul 7, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Pedro Covas M.d. NPPES

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

PEDRO COVAS M.D. (NPI 1285167239) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME168468) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Temple University School Of Medicine (2017).

NPPES Registry Identity

NPI1285167239
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePEDRO COVASCredential: M.D.
Location Address15955 SW 96TH ST STE 301Miami, FL 33196-1273
Mailing AddressPo Box 198054Atlanta, GA 30384-8054
Phone(786) 204-4205
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateOctober 23, 20253 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1285167239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME168468
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
15955 SW 96TH ST STE 301, Miami, FL 33196
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Cigna Healthcare 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

Pedro Covas 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 ID3476979931
PECOS Enrollment IDI20240903000184
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

6

Medicare enrollment records show Pedro Covas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami
6.6 mi
Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1912956566 (305) 243-7688
Baptist Outpatient Services Inc
7.2 mi
Diagnostic Radiology
8950 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 318 clinicians in this Medicare group
NPI 1437127529 (786) 596-7200
Baptist Ekg Associates Inc
7.2 mi
Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 58 clinicians in this Medicare group
NPI 1013044296 (305) 596-1960
Baptist Echocardiography Associates Inc
7.3 mi
Specialist
8900 N KENDALL DRIVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 50 clinicians in this Medicare group
NPI 1194852293 (786) 596-1960
Baptist Health Medical Group Physicians LLC
7.3 mi
Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
NPI 1891893343 (786) 662-7111
Doctors Hospital Cardiology Assn. Of Coral Gables, Inc.
12 mi
Specialist
5000 UNIVERSITY DR
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1578690699 (305) 666-2111

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

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

BAPTIST HEALTH MEDICAL GROUP PHYSICIANS, LLC
Internal Medicine
15955 SW 96TH ST STE 301
MIAMI, FL 33196
Miami-Dade County (786) 595-8080

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 Pedro Covas's NPI number?

The NPI number for Pedro Covas is 1285167239. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Pedro Covas located?

Pedro Covas practices at 15955 SW 96th St Ste 301, Miami, FL 33196. The listed phone number is (786) 204-4205.

What is Pedro Covas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pedro Covas enrolled in Medicare?

Yes. Pedro Covas 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 Pedro Covas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Covas reassigns Medicare benefits to 6 organizations: University Of Miami (Miami, FL), Baptist Outpatient Services Inc (Miami, FL), Baptist Ekg Associates Inc (Miami, FL), Baptist Echocardiography Associates Inc (Miami, FL), Baptist Health Medical Group Physicians LLC (Miami, FL) and 1 more organization, listed in the Medicare section above. 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 Pedro Covas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Covas accept?

Health plans from AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Pedro Covas 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 Pedro Covas affiliated with any hospitals?

According to CMS data, Pedro Covas is affiliated with Baptist Hospital Of Miami, South Miami Hospital, West Kendall Baptist Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Pedro Covas was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.