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DR. HERMINIO GARCIA-ESTRADA MD
NPI 1285636613
Internal Medicine - Nephrology in Miami, FL

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
550 S.W. 27TH AVENUE, MIAMI, FL 33135(305) 541-2655(305) 541-2667 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Herminio Garcia-estrada Md NPPES

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

DR. HERMINIO GARCIA-ESTRADA MD (NPI 1285636613) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME25073) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1285636613
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. HERMINIO GARCIA-ESTRADACredential: MD
Location Address550 S.W. 27TH AVENUEMiami, FL 33135
Mailing Address550 S.w. 27th AvenueMiami, FL 33135 · (305) 541-2655 · Fax (305) 541-2667
Phone(305) 541-2655
Fax(305) 541-2667
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateAugust 15, 2005
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1285636613 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 · ME25073
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.
550 S.W. 27TH AVENUE, Miami, FL 33135
Open in Google Maps ↗

Other Identifiers 1

Medicaid058-735400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Wellpoint.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

Dr. Herminio Garcia-estrada 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 ID6002931706
PECOS Enrollment IDI20100918000076
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 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.

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.
87 services18 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.
71 services35 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
42 services15 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.
40 services30 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.
21 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33135 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.

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 Herminio Garcia-estrada's NPI number?

The NPI number for Herminio Garcia-estrada is 1285636613. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Herminio Garcia-estrada located?

Herminio Garcia-estrada practices at 550 S.W. 27th Avenue, Miami, FL 33135. The listed phone number is (305) 541-2655.

What is Herminio Garcia-estrada's specialty?

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

Is Herminio Garcia-estrada enrolled in Medicare?

Yes. Herminio Garcia-estrada 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 Herminio Garcia-estrada accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Wellpoint list Herminio Garcia-estrada 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 Herminio Garcia-estrada affiliated with any hospitals?

According to CMS data, Herminio Garcia-estrada is affiliated with Baptist Hospital Of Miami.

When was this NPI record last updated?

The NPPES record for Herminio Garcia-estrada was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.