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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ORLANDO ALFONSO M.D.
NPI 1346360369
Family Medicine in Miami Lakes, FL

Active since March 31, 2007PECOS EnrolledAccepts Medicare Assignment
5190 NW 167TH ST STE 109, MIAMI LAKES, FL 33014(305) 851-2860(786) 796-0930 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Dec 29, 2025, Apr 18, 2024 (3 updates tracked since 2024).

About Dr. Orlando Alfonso M.d. NPPES

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

DR. ORLANDO ALFONSO M.D. (NPI 1346360369) is an individual family medicine provider in Miami Lakes, Florida, licensed in Florida (ME103044) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1346360369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ORLANDO ALFONSOCredential: M.D.
Location Address5190 NW 167TH ST STE 109Miami Lakes, FL 33014-6329
Mailing Address8333 Nw 53rd St Fl 6Doral, FL 33166-4783
Phone(305) 851-2860
Fax(786) 796-0930
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 31, 2007
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1346360369 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 · ME103044
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.
5190 NW 167TH ST STE 109, Miami Lakes, FL 33014
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Orlando Alfonso 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 ID7315089737
PECOS Enrollment IDI20100123000168
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.

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.

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.
59 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33014 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.

Other Providers at the Same Location NPPES 4

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

DR. ANGEL A. DE ARMENDI
General Practice
5190 NW 167TH ST STE 109
MIAMI LAKES, FL 33014
Miami-Dade County (855) 226-6633
HANCEAU DORVIL MD
General Practice
5190 NW 167TH ST STE 109
MIAMI LAKES, FL 33014
Miami-Dade County (305) 851-2860
LUIS ENRIQUE GONZALEZ JUNCO DMD
Dentist
5190 NW 167TH ST STE 109
MIAMI LAKES, FL 33014
Miami-Dade County (786) 507-3458
DR. ROBERTO OSCAR RIVERA CORDERO M.D.
General Practice
5190 NW 167TH ST STE 109
MIAMI LAKES, FL 33014
Miami-Dade County (305) 851-2860

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 Orlando Alfonso's NPI number?

The NPI number for Orlando Alfonso is 1346360369. It was assigned to this individual provider in the NPPES registry on March 31, 2007.

Where is Orlando Alfonso located?

Orlando Alfonso practices at 5190 NW 167th St Ste 109, Miami Lakes, FL 33014. The listed phone number is (305) 851-2860.

What is Orlando Alfonso's specialty?

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

Is Orlando Alfonso enrolled in Medicare?

Yes. Orlando Alfonso 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.

What insurance does Orlando Alfonso accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Orlando Alfonso 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 Orlando Alfonso was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.