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JUAN M CUELLAR MD
NPI 1285617621
Internal Medicine - Nephrology in Miami, FL

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
219 NW 12TH AVE, STE C5, MIAMI, FL 33128(305) 548-4063(305) 545-1515 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Juan M Cuellar Md NPPES

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

JUAN M CUELLAR MD (NPI 1285617621) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME87069) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285617621
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJUAN M CUELLARCredential: MD
Location Address219 NW 12TH AVE, STE C5Miami, FL 33128-2205
Mailing Address219 Nw 12th Ave, Suite C5Miami, FL 33128-2205 · (305) 548-4063 · Fax (305) 545-1515
Phone(305) 548-4063
Fax(305) 545-1515
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 21, 2005
Last NPPES UpdateDecember 14, 2022
NPPES CertifiedDecember 14, 2022
✔ NPI 1285617621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME87069
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
219 NW 12TH AVE, Miami, FL 33128
Open in Google Maps ↗

Other Identifiers 9

Other300893FL · Avmed
Other981883FL · Coventry Health
Other5694080FL · First Health
Other2088546FL · Cigna
Other56924FL · Nhp
Other0186346FL · Ghi Ppo
Other7042817FL · Aetna
Other9456759FL · Phcs Network
OtherP00372284FL · Railroad Medicare

Accepted Insurance

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

Juan M Cuellar 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 ID3173508223
PECOS Enrollment IDI20040622001194
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

3

Medicare enrollment records show Juan Cuellar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidney Specialty Center Inc.
Same address
Nephrology
219 NW 12TH AVE, SUITE C5
Miami, FL 33128
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1679832679 (305) 548-4063
Qmc LLC
4.2 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Leon Medical Centers LLC
11 mi
Health Service
11501 SW 40TH ST
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 202 clinicians in this Medicare group
NPI 1376579839 (305) 642-5366

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 10

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.
392 services110 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
234 services31 patients
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.
140 services76 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.
66 services55 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
50 services13 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
44 services20 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 Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33128 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$73.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims525 services$0.30 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$16.14 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 3

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

KIDNEY SPA LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
219 NW 12TH AVE, UNIT C4
MIAMI, FL 33128
Miami-Dade County (305) 329-2900
KIDNEY SPECIALTY CENTER INC.
Internal Medicine (Nephrology)
219 NW 12TH AVE, SUITE C5
MIAMI, FL 33128
Miami-Dade County (305) 548-4063
DIANA LONDONO MD PA
Urology
219 NW 12TH AVE, SUITE C-5
MIAMI, FL 33128
Miami-Dade County (305) 548-4063

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 Juan Cuellar's NPI number?

The NPI number for Juan Cuellar is 1285617621. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Juan Cuellar located?

Juan Cuellar practices at 219 NW 12th Ave Ste C5, Miami, FL 33128. The listed phone number is (305) 548-4063.

What is Juan Cuellar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Juan Cuellar enrolled in Medicare?

Yes. Juan Cuellar 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 Juan Cuellar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Cuellar reassigns Medicare benefits to 3 organizations: Kidney Specialty Center Inc. (Miami, FL), Qmc LLC (Miami, FL) and Leon Medical Centers LLC (Miami, 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 Juan Cuellar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Cuellar accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Juan Cuellar 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 Juan Cuellar affiliated with any hospitals?

According to CMS data, Juan Cuellar is affiliated with Mount Sinai Medical Center Of Florida, Inc and Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Juan Cuellar was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.