DR. JOSE GABRIEL MEDINA SMESTER M.D.
NPI 1295053593
Internal Medicine in Miami, FL

Q: What is Jose Medina Smester's NPI number?

The NPI number for Jose Medina Smester is 1295053593. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Q: What is Jose Medina Smester's specialty?

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

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment

801 BRICKELL AVE, SUITE 954, MIAMI, FL 33131(786) 375-5098(786) 375-5033 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2019, Feb 3, 2017 (2 updates tracked since 2017).

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About Dr. Jose Gabriel Medina Smester M.d. NPPES

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

DR. JOSE GABRIEL MEDINA SMESTER M.D. (NPI 1295053593) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME117746) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1295053593

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JOSE GABRIEL MEDINA SMESTERCredential: M.D.

Location Address801 BRICKELL AVE, SUITE 954Miami, FL 33131-2951

Mailing Address801 Brickell Ave, Ste 900Miami, FL 33131-2979 · (786) 477-4292 · Fax (786) 574-5584

Phone(786) 375-5098

Fax(786) 375-5033

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateMay 11, 2010

Last NPPES UpdateDecember 13, 20192 updates tracked since enumeration

✔ NPI 1295053593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME117746

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.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME117746 (FL)

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License ME117746 (FL)

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License ME117746 (FL)

801 BRICKELL AVE, Miami, FL 33131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Jose Gabriel Medina Smester 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 ID3779809025

PECOS Enrollment IDI20150303001667, I20231113003207

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 3

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.

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.

71 services65 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.

61 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Logan Regional Medical Center

Acute Care Hospitals · Logan, WV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number510048

Location20 Hospital DriveLogan, WV 25601 · Logan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33131 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 3

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers14 claims84 services$1.80 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers52 claims52 services$16.05 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

4 suppliers63 claims63 services$83.11 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 2

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

NEUROPSYCHOLOGICAL INSTITUE, P.A.

Psychologist (Clinical)

801 BRICKELL AVE, SUITE 900
MIAMI, FL 33131

Miami-Dade County (305) 632-9902

DR. SHAWNA MARIE FRESHWATER PH.D.

Clinical Neuropsychologist

801 BRICKELL AVE, SUITE 900
MIAMI, FL 33131

Miami-Dade County (305) 632-9902

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 Jose Medina Smester's NPI number?

The NPI number for Jose Medina Smester is 1295053593. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Jose Medina Smester located?

Jose Medina Smester practices at 801 Brickell Ave Suite 954, Miami, FL 33131. The listed phone number is (786) 375-5098.

What is Jose Medina Smester's specialty?

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

Is Jose Medina Smester enrolled in Medicare?

Yes. Jose Medina Smester 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 Jose Medina Smester accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Insurance Company list Jose Medina Smester 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 Jose Medina Smester affiliated with any hospitals?

According to CMS data, Jose Medina Smester is affiliated with St Josephs Hospital and Logan Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Medina Smester was last updated on December 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.