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DR. NILDA MARIA GINARTE M.D.
NPI 1316113798
Internal Medicine in Miami, FL

Active since May 05, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2124973 · Waiver
8785 SW 165TH AVE STE 201, MIAMI, FL 33193(786) 828-7171(786) 391-4582 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nilda Maria Ginarte M.d. NPPES

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

DR. NILDA MARIA GINARTE M.D. (NPI 1316113798) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME105847) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through January 29, 2027, and is affiliated with Baptist Hospital Of Miami.

NPPES Registry Identity

NPI1316113798
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NILDA MARIA GINARTECredential: M.D.
Location Address8785 SW 165TH AVE STE 201Miami, FL 33193-5828
Mailing Address8785 Sw 165th Ave Ste 201Miami, FL 33193-5828 · (786) 828-7171 · Fax (786) 391-4582
Phone(786) 828-7171
Fax(786) 391-4582
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 5, 2008
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1316113798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME105847
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.
8785 SW 165TH AVE STE 201, Miami, FL 33193
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Accepted Insurance

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

Dr. Nilda Maria Ginarte 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 ID446430342
PECOS Enrollment IDI20110210000052
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 Nilda Ginarte reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nilda M Ginarte MD PA
Same address
Internal Medicine
8785 SW 165TH AVE, SUITE #201
Miami, FL 33193
  • Reassigned Medicare billing, Florida enrollment
NPI 1922540509 (786) 828-7171
South Miami Inpatient Physicians
10 mi
Internal Medicine
6200 SW 73RD ST, BOX 69
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
NPI 1346313194 (786) 662-5465
First Docs PC
1,190 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2124973

Nilda M Ginarte MD PA · Miami, FL
Active · expires Jan 29, 2027
CLIA Number10D2124973
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorNilda Ginarte
Laboratory Phone(786) 828-7171
Laboratory LocationNilda M Ginarte MD PA8785 SW 165th Ave Ste 201, Miami, FL 33193
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
105 services52 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.
80 services23 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.
35 services35 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
34 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33193 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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims49 services$6.63 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
2 suppliers13 claims13 services$13.70 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
3 suppliers20 claims20 services$75.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nilda Ginarte's NPI number?

The NPI number for Nilda Ginarte is 1316113798. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Nilda Ginarte located?

Nilda Ginarte practices at 8785 SW 165th Ave Ste 201, Miami, FL 33193. The listed phone number is (786) 828-7171.

What is Nilda Ginarte's specialty?

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

Is Nilda Ginarte enrolled in Medicare?

Yes. Nilda Ginarte 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 Nilda Ginarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nilda Ginarte reassigns Medicare benefits to 3 organizations: Nilda M Ginarte MD PA (Miami, FL), South Miami Inpatient Physicians (South Miami, FL) and First Docs PC (Naperville, IL). 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 Nilda Ginarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Nilda Ginarte hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2124973) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nilda Ginarte accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nilda Ginarte 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 Nilda Ginarte affiliated with any hospitals?

According to CMS data, Nilda Ginarte is affiliated with Baptist Hospital Of Miami and Homestead Hospital.

When was this NPI record last updated?

The NPPES record for Nilda Ginarte was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.