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DR. JUAN R DEL RIO
NPI 1326023730
Internal Medicine in Hialeah, FL

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
2001 W 68TH ST, HIALEAH, FL 33016(305) 823-5000(305) 397-1825 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2020, Jul 13, 2020 (2 updates tracked since 2020).

About Dr. Juan R Del Rio NPPES

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

DR. JUAN R DEL RIO (NPI 1326023730) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME0055089) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1326023730
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUAN R DEL RIO
Location Address2001 W 68TH STHialeah, FL 33016-1801
Mailing AddressPo Box 4482Hialeah, FL 33014-0482 · (786) 506-9592 · Fax (305) 397-1825
Phone(305) 823-5000
Fax(305) 397-1825
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1326023730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0055089
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 ListedSpecialistTaxonomy 174400000X · License ME55089 (FL)
2001 W 68TH ST, Hialeah, FL 33016
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Other Identifiers 2

Medicaid373476500FL
Other18746NFL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Juan R Del Rio 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 ID4284635053
PECOS Enrollment IDI20070122000293
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

5

Medicare enrollment records show Juan Del Rio reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Juan R Del Rio MD PA
Same address
Internal Medicine
2001 W 68TH ST
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
NPI 1114023827 (305) 823-5000
Qmc LLC
7.6 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Cogent Healthcare Of Pensacola LLC
86 mi
Internal Medicine
8300 COLLIER BLVD
Naples, FL 34114
  • Reassigned Medicare billing, Florida enrollment
  • 335 clinicians in this Medicare group
NPI 1740863844 (239) 354-6000
Inpatient Consultants Of Florida Inc
200 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000
First Docs PC
1,180 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.

Areas of Expertise CMS Part B claims 5

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 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.
218 services35 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.
111 services34 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.
50 services40 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.
21 services19 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.
19 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

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 33016 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.

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.

STEWARD PGH, INC.
Psychiatric Hospital
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000
YARLIE VINCENT
Nurse Practitioner (Family)
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (786) 520-1799
PETER GEORGE LINDO M.D.
Internal Medicine (Critical Care Medicine)
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 661-9404
STEVEN COLON
Nurse Anesthetist, Certified Registered
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000
RICARDO SPIRITTO ARNP
Nurse Practitioner
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000
ADRIAN RANGEL IZQUIERDO MD
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000
DR. BRANDON AUGUSTINE HEVIA MD
Student in an Organized Health Care Education/Training Program
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000
SHERIDAN RADIOLOGY SERVICES OF KENTUCKY, INC
Radiology (Diagnostic Radiology)
2001 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 823-5000

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 Juan Del Rio's NPI number?

The NPI number for Juan Del Rio is 1326023730. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Juan Del Rio located?

Juan Del Rio practices at 2001 W 68th St, Hialeah, FL 33016. The listed phone number is (305) 823-5000.

What is Juan Del Rio's specialty?

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

Is Juan Del Rio enrolled in Medicare?

Yes. Juan Del Rio 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 Juan Del Rio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Del Rio reassigns Medicare benefits to 5 organizations: Juan R Del Rio MD PA (Hialeah, FL), Qmc LLC (Miami, FL), Cogent Healthcare Of Pensacola LLC (Naples, FL), Inpatient Consultants Of Florida Inc (Tampa, 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 Juan Del Rio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Del Rio accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Juan Del Rio 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 Juan Del Rio affiliated with any hospitals?

According to CMS data, Juan Del Rio is affiliated with Memorial Hospital West and Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Juan Del Rio was last updated on July 22, 2020. 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.