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DR. RAFAEL ENRIQUE HERNANDEZ OQUET M.D.
NPI 1346688231
Internal Medicine in Miami, FL

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE # 781, MIAMI, FL 33136(305) 243-1960(802) 375-7192 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 8, 2019, Jan 5, 2019 (2 updates tracked since 2019).

About Dr. Rafael Enrique Hernandez Oquet M.d. NPPES

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

DR. RAFAEL ENRIQUE HERNANDEZ OQUET M.D. (NPI 1346688231) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME127659) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1346688231
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAFAEL ENRIQUE HERNANDEZ OQUETCredential: M.D.
Location Address1400 NW 12TH AVE # 781Miami, FL 33136-1087
Mailing Address1120 Nw 14th St # 1134Miami, FL 33136-2107 · Fax (802) 375-7192
Phone(305) 243-1960
Fax(802) 375-7192
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 13, 2013
Last NPPES UpdateJanuary 8, 20192 updates tracked since enumeration
✔ NPI 1346688231 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 · ME127659
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.
1400 NW 12TH AVE # 781, Miami, FL 33136
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Secondary Practice Location 1

Location 11601 NW 12th AveMiami, FL 33136-1005 · Phone (305) 243-1960

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), Molina Healthcare 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. Rafael Enrique Hernandez Oquet 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 ID9830450642
PECOS Enrollment IDI20180219000696
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 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.
189 services83 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.
114 services58 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.
54 services50 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.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES

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

LINA M ALI MD
Internal Medicine
1400 NW 12TH AVE # 781
MIAMI, FL 33136
Miami-Dade County (305) 689-5511

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 Rafael Hernandez Oquet's NPI number?

The NPI number for Rafael Hernandez Oquet is 1346688231. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Rafael Hernandez Oquet located?

Rafael Hernandez Oquet practices at 1400 NW 12th Ave # 781, Miami, FL 33136. The listed phone number is (305) 243-1960.

What is Rafael Hernandez Oquet's specialty?

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

Is Rafael Hernandez Oquet enrolled in Medicare?

Yes. Rafael Hernandez Oquet 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 Rafael Hernandez Oquet accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Rafael Hernandez Oquet 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 Rafael Hernandez Oquet affiliated with any hospitals?

According to CMS data, Rafael Hernandez Oquet is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Rafael Hernandez Oquet was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.