JHONATHAN DUARTE MD
NPI 1326451188
Obstetrics & Gynecology in Miami, FL
About Jhonathan Duarte Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JHONATHAN DUARTE MD (NPI 1326451188) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME136101) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Allentown, and is a graduate of University Central Del Caribe Escuela De Medicina (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jhonathan Duarte 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jhonathan Duarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33133
- Reassigned Medicare billing, Florida enrollment
- 683 clinicians in this Medicare group
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 802 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jhonathan Duarte's NPI number?
The NPI number for Jhonathan Duarte is 1326451188. It was assigned to this individual provider in the NPPES registry on June 9, 2014.
Where is Jhonathan Duarte located?
Jhonathan Duarte practices at 8200 SW 117th Ave Ste 304, Miami, FL 33183. The listed phone number is (305) 226-5651.
What is Jhonathan Duarte's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jhonathan Duarte enrolled in Medicare?
Yes. Jhonathan Duarte 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 Jhonathan Duarte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jhonathan Duarte reassigns Medicare benefits to 2 organizations: Ob Hospitalist Group LLC (Miami, FL) and Florida Woman Care, LLC (Tampa, 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 Jhonathan Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jhonathan Duarte accept?
Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 4 other insurers list Jhonathan Duarte 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.
When was this NPI record last updated?
The NPPES record for Jhonathan Duarte was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jhonathan Duarte, MD · NPI 1326451188
Obstetrics & Gynecology physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since June 9, 2014.
## Identity
- **NPI:** 1326451188 (Entity type: Individual)
- **Enumerated:** June 9, 2014
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** ME136101 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 8200 SW 117TH AVE STE 304, Miami, FL 33183-4826
- **Phone:** (305) 226-5651 · **Fax:** (305) 226-2424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ob Hospitalist Group LLC (NPI 1457011751, Miami, FL); Florida Woman Care, LLC (NPI 1386823243, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Central Del Caribe Escuela De Medicina, class of 2014
## Record status
- **NPPES last updated:** October 8, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1326451188) · Data from the CMS NPPES public registry.