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ROSEMARIE GORIS-HERNANDEZ M.D.
NPI 1306253240
Family Medicine in Miramar, FL

Active since July 11, 2014PECOS EnrolledAccepts Medicare Assignment
3161 SW 160TH AVE, MIRAMAR, FL 33027(954) 450-4550(954) 450-3557 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 22, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Rosemarie Goris-hernandez M.d. NPPES

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

ROSEMARIE GORIS-HERNANDEZ M.D. (NPI 1306253240) is an individual family medicine provider in Miramar, Florida, licensed in Florida (ME119728) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Miramar, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306253240
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSEMARIE GORIS-HERNANDEZCredential: M.D.
Location Address3161 SW 160TH AVEMiramar, FL 33027-4214
Mailing Address3161 Sw 160th AveMiramar, FL 33027-4214 · (954) 450-4550 · Fax (954) 431-7237
Phone(954) 450-4550
Fax(954) 450-3557
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 11, 2014
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1306253240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME119728
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3161 SW 160TH AVE, Miramar, FL 33027
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Secondary Practice Locations 2

Location 18529 Pines BlvdPembroke Pines, FL 33024-6611 · Phone (954) 704-3300
Location 25961 NW 173rd Dr, Chen Medical Miami Lakes, IncHialeah, FL 33015-5114 · Phone (305) 556-7500 · Fax (305) 503-3476

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health 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

Rosemarie Goris-hernandez 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 ID5698094928
PECOS Enrollment IDI20150507001143
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 Rosemarie Goris-hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nest Medical Center PA
Same address
Internal Medicine
3161 SW 160TH AVE
Miramar, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1295528297 (954) 450-3550
Domus Care Solutions
7.6 mi
Geriatric Medicine
2200 N COMMERCE PKWY STE 200
Weston, FL 33326
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1285264093 (718) 406-4896
Chen Neighborhood Medical Centers Of South Florida, LLC
9.2 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 221 clinicians in this Medicare group
NPI 1881024800 (305) 628-6117

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
24 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 6

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

ROBERT S TOMCHIK MD PA
Family Medicine
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 450-3550
NEST MEDICAL CENTER PA
Internal Medicine
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 450-3550
FNP STANDARD OF CARE INC
Clinic/Center (Primary Care)
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 391-7018
DR. ROBERT STEVEN TOMCHIK M.D.
Family Medicine
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 450-3550
RAFAEL OSVALDO HERNANDEZ LORA M.D.
Internal Medicine
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 450-3550
JEAN HEROLD NOEL ARNP
Nurse Practitioner (Family)
3161 SW 160TH AVE
MIRAMAR, FL 33027
Broward County (954) 450-4922

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 Rosemarie Goris-hernandez's NPI number?

The NPI number for Rosemarie Goris-hernandez is 1306253240. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Rosemarie Goris-hernandez located?

Rosemarie Goris-hernandez practices at 3161 SW 160th Ave, Miramar, FL 33027. The listed phone number is (954) 450-4550.

What is Rosemarie Goris-hernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rosemarie Goris-hernandez enrolled in Medicare?

Yes. Rosemarie Goris-hernandez 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 Rosemarie Goris-hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosemarie Goris-hernandez reassigns Medicare benefits to 3 organizations: Nest Medical Center PA (Miramar, FL), Domus Care Solutions (Weston, FL) and Chen Neighborhood Medical Centers Of South Florida, LLC (Miami Gardens, 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 Rosemarie Goris-hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosemarie Goris-hernandez accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed and 2 other insurers list Rosemarie Goris-hernandez 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 Rosemarie Goris-hernandez affiliated with any hospitals?

According to CMS data, Rosemarie Goris-hernandez is affiliated with Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Rosemarie Goris-hernandez was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.