OSVALDO ANTONIO CARMONA MD
NPI 1346864931
Internal Medicine in South Miami, FL

Q: What is Osvaldo Carmona's NPI number?

The NPI number for Osvaldo Carmona is 1346864931. It was assigned to this individual provider in the NPPES registry on May 30, 2020.

Q: What is Osvaldo Carmona's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Osvaldo Carmona was last updated on May 31, 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.

Active since May 30, 2020PECOS EnrolledAccepts Medicare Assignment

7031 SW 62ND AVE, SOUTH MIAMI, FL 33143(305) 284-7500(305) 284-7657 Get Directions Write a Review

NPPES record last updated: May 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Osvaldo Antonio Carmona Md NPPES

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

OSVALDO ANTONIO CARMONA MD (NPI 1346864931) is an individual internal medicine provider in South Miami, Florida, licensed in Florida (TRN30535) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346864931

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameOSVALDO ANTONIO CARMONACredential: MD

Location Address7031 SW 62ND AVESouth Miami, FL 33143-4701

Mailing Address3035 Sw 80th AveMiami, FL 33155-2516 · (941) 916-8488

Phone(305) 284-7500

Fax(305) 284-7657

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 30, 2020

Last NPPES UpdateMay 31, 2020

NPPES CertifiedMay 31, 2020

✔ NPI 1346864931 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 · TRN30535

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.

7031 SW 62ND AVE, South Miami, FL 33143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Osvaldo Antonio Carmona 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 ID5698134492

PECOS Enrollment IDI20230712001271

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

Medicare enrollment records show Osvaldo Carmona reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carmona Care Center LLC

3.9 mi

Internal Medicine

147 ALHAMBRA CIR STE 140
Coral Gables, FL 33134

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1962194019 (305) 917-9270

Fiel Wellness Health Inc

6.0 mi

Family Medicine

2141 SW 1ST ST STE 204-205
Miami, FL 33135

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1164107694 (786) 360-2369

Carmona Health System LLC.

12 mi

Internal Medicine

929 W 64TH ST
Hialeah, FL 33012

Reassigned Medicare billing, Florida enrollment

NPI 1386337426 (941) 916-8488

Javier Ricardo MD PA

13 mi

General Practice

7000 W 12TH AVE STE 12
Hialeah, FL 33014

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1255355665 (305) 267-6774

One Soul Cmh, Inc

16 mi

Community/Behavioral Health

5901 NW 183RD ST STE 128
Hialeah, FL 33015

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1447823430 (786) 332-4965

Radial Health Southeast LLC

515 mi

Physical Medicine & Rehabilitation

2045 FOUNTAIN PROFESSIONAL CT STE A
Navarre, FL 32566

Reassigned Medicare billing, Florida enrollment
160 clinicians in this Medicare group

NPI 1174159891 (850) 494-3212

First Docs PC

1,193 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 12

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 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.

2,205 services201 patients

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.

1,600 services219 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

482 services47 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

318 services43 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.

290 services193 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.

149 services104 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

74 services18 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

39 services18 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.

29 services24 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

28 services26 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

23 services23 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100050

Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County

Emergency services

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL

OwnershipProprietary

CMS Certification Number100181

Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County

Emergency services

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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.

DANIEL SHLYAK MD

Student in an Organized Health Care Education/Training Program