SERGIO SOBREDO MD
NPI 1326008905
Emergency Medicine in Coral Gables, FL

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.49/100
CMS Quality Rating
3100 S DOUGLAS RD, CORAL GABLES, FL 33134(305) 445-8461 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sergio Sobredo Md NPPES

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

SERGIO SOBREDO MD (NPI 1326008905) is an individual emergency medicine provider in Coral Gables, Florida, licensed in Florida (ME0043159) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Dequincy Memorial Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1326008905
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSERGIO SOBREDOCredential: MD
Location Address3100 S DOUGLAS RDCoral Gables, FL 33134-6914
Mailing AddressPo Box 863481Orlando, FL 32886-3481
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 27, 2006
Last NPPES UpdateMay 14, 2013
✔ NPI 1326008905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · ME0043159
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3100 S DOUGLAS RD, Coral Gables, FL 33134

Other Identifiers 4

Other94586FL · Bcbs
Medicare UPIND63275FL
Medicare ID-Type Unspecified94586JFL · Medicare
Medicaid045315300FL

Accepted 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

Sergio Sobredo 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 ID648179408
PECOS Enrollment IDI20031231000420, I20201029001723
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

21

Medicare enrollment records show Sergio Sobredo reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1210 S OLD DIXIE HWY
Jupiter, FL 33458
  • Reassigned Medicare billing, Florida enrollment
  • 181 clinicians in this Medicare group
123 mi
Emergency Medical Services
5900 COLLEGE RD
Key West, FL 33040
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group
Rural Health
172 MJ TAYLOR RD
Adel, GA 31620
  • Reassigned Medicare billing, Georgia enrollment
  • 337 clinicians in this Medicare group
Rural
102 HOSPITAL CIRCLE
Donalsonville, GA 39845
  • Reassigned Medicare billing, Georgia enrollment
  • 101 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 133 clinicians in this Medicare group
Emergency Medical Services
801 POINCIANA AVE
Mamou, LA 70554
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group
Emergency Medicine
110 W 4TH ST
Dequincy, LA 70633
  • Reassigned Medicare billing, Louisiana enrollment
  • 13 clinicians in this Medicare group
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, New Mexico enrollment
  • 114 clinicians in this Medicare group
Internal Medicine
200 W TYLER AVE
West Memphis, AR 72301
  • Reassigned Medicare billing, New Mexico enrollment
  • 56 clinicians in this Medicare group
Emergency Medicine
240 HIGHLAND DR
Many, LA 71449
  • Reassigned Medicare billing, New Mexico enrollment
  • 152 clinicians in this Medicare group

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services63 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services42 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Dequincy Memorial Hospital

Critical Access Hospitals · Dequincy, LA
OwnershipProprietary
CMS Certification Number191307
Location110 West 4th StreetDequincy, LA 70633 · Calcasieu County
Emergency services

Bienville Medical Center

Critical Access Hospitals · Arcadia, LA
OwnershipProprietary
CMS Certification Number191320
Location1175 Pine StreetArcadia, LA 71001 · Bienville County
Emergency services

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number320084
Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.51
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
Radiology (Diagnostic Radiology)
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
Internal Medicine
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
Emergency Medicine
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
General Acute Care Hospital
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
General Acute Care Hospital
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
Nurse Anesthetist, Certified Registered
3100 S DOUGLAS RD
CORAL GABLES, FL 33134
Specialist/Technologist, Other (Surgical Assistant)
3100 S DOUGLAS RD
CORAL GABLES, FL 33134

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 Sergio Sobredo's NPI number?

The NPI number for Sergio Sobredo is 1326008905. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Sergio Sobredo located?

Sergio Sobredo practices at 3100 S Douglas Rd, Coral Gables, FL 33134. The listed phone number is (305) 445-8461.

What is Sergio Sobredo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sergio Sobredo enrolled in Medicare?

Yes. Sergio Sobredo 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 Sergio Sobredo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Sobredo reassigns Medicare benefits to 21 organizations: Sheridan Emergency Physician Services Inc (Jupiter, FL), Md4er LLC (Key West, FL), Tift Regional Health System, Inc. (Adel, GA), Donalsonville Hospital Inc (Donalsonville, GA), Correct Care, Inc. (Covington, LA) and 16 more organizations, listed in the Medicare section above. 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 Sergio Sobredo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Sobredo accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and HMO Louisiana list Sergio Sobredo 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 Sergio Sobredo affiliated with any hospitals?

According to CMS data, Sergio Sobredo is affiliated with Dequincy Memorial Hospital, Bienville Medical Center and Roosevelt General Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Sobredo was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.