DR. RAFAEL E GARCIA-OCASIO M.D
NPI 1356775530
Obstetrics & Gynecology in Hialeah, FL
About Dr. Rafael E Garcia-ocasio M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFAEL E GARCIA-OCASIO M.D (NPI 1356775530) is an individual obstetrics & gynecology provider in Hialeah, Florida, licensed in Florida (ME134257) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Rafael E Garcia-ocasio 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.
Medicare Billing Reassignment
Medicare enrollment records show Rafael Garcia-ocasio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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 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.
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIALEAH, FL 33016
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 Garcia-ocasio's NPI number?
The NPI number for Rafael Garcia-ocasio is 1356775530. It was assigned to this individual provider in the NPPES registry on August 24, 2013.
Where is Rafael Garcia-ocasio located?
Rafael Garcia-ocasio practices at 2300 W 84th St Ste 500, Hialeah, FL 33016. The listed phone number is (305) 512-4858.
What is Rafael Garcia-ocasio's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Rafael Garcia-ocasio enrolled in Medicare?
Yes. Rafael Garcia-ocasio 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 organization bills Medicare for Rafael Garcia-ocasio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Garcia-ocasio reassigns Medicare benefits to Florida Woman Care, LLC (Tampa, FL). The 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 Rafael Garcia-ocasio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafael Garcia-ocasio accept?
Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed and 7 other insurers list Rafael Garcia-ocasio 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 Rafael Garcia-ocasio was last updated on May 22, 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.
# Dr. Rafael E Garcia-Ocasio, M.D · NPI 1356775530
Obstetrics & Gynecology physician in Hialeah, Florida. Individual provider, active in the CMS NPPES registry since August 24, 2013.
## Identity
- **NPI:** 1356775530 (Entity type: Individual)
- **Enumerated:** August 24, 2013
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** ME134257 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 W 84TH ST STE 500, Hialeah, FL 33016
- **Phone:** (305) 512-4858
## 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:** Florida Woman Care, LLC (NPI 1386823243, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1356775530) · Data from the CMS NPPES public registry.