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SOFIA EMILY VASQUEZ MD
NPI 1285791350
Internal Medicine - Endocrinology, Diabetes & Metabolism in Hialeah, FL

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
7000 W 12TH AVE STE 22, HIALEAH, FL 33014(305) 820-9650 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2018, Apr 10, 2018 (2 updates tracked since 2018).

About Sofia Emily Vasquez Md NPPES

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

SOFIA EMILY VASQUEZ MD (NPI 1285791350) is an individual endocrinology, diabetes & metabolism provider in Hialeah, Florida, licensed in Florida (ME82087) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Steward Palmetto General Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1285791350
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSOFIA EMILY VASQUEZCredential: MD
Location Address7000 W 12TH AVE STE 22Hialeah, FL 33014-5154
Mailing Address7000 W 12th Ave Ste 22Hialeah, FL 33014-5154 · (305) 820-9650
Phone(305) 820-9650
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 2, 2007
Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1285791350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in FL · ME82087✔ Licensed in TX · L7589
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

7000 W 12TH AVE STE 22, Hialeah, FL 33014
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Other Names 1

Professional Name (2)Sofia Emily Vasquez Md

Other Identifiers 1

Medicaid277474700FL

Accepted Insurance

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

Sofia Emily Vasquez 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 ID6406745751
PECOS Enrollment IDI20070215000768
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 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.

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.
138 services83 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.
82 services26 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.
30 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33014 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 6

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

Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each A4233
DME-Other DME · category DE017N
2 suppliers18 claims36 services$0.45 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers149 claims564 services$6.55 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers47 claims47 services$2.93 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
4 suppliers17 claims17 services$1.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers89 claims180 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers69 claims69 services$181.13 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

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

HIALEAH ENDOCRINE CENTER PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7000 W 12TH AVE STE 22
HIALEAH, FL 33014
Miami-Dade County (305) 820-9650

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 Sofia Vasquez's NPI number?

The NPI number for Sofia Vasquez is 1285791350. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Sofia Emily Vasquez MD.

Where is Sofia Vasquez located?

Sofia Vasquez practices at 7000 W 12th Ave Ste 22, Hialeah, FL 33014. The listed phone number is (305) 820-9650.

What is Sofia Vasquez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sofia Vasquez enrolled in Medicare?

Yes. Sofia Vasquez 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 Sofia Vasquez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Sofia Vasquez 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 Sofia Vasquez affiliated with any hospitals?

According to CMS data, Sofia Vasquez is affiliated with Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Sofia Vasquez was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.