ALFONSO MANUEL ORTIZ VARGAS MD
NPI 1386165793
Internal Medicine - Nephrology in Coral Gables, FL

Q: What is Alfonso Ortiz Vargas's NPI number?

The NPI number for Alfonso Ortiz Vargas is 1386165793. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Q: What is Alfonso Ortiz Vargas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment

83.08/100

CMS Quality Rating

747 PONCE DE LEON BLVD STE 605, CORAL GABLES, FL 33134(453) 445-4535 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, May 14, 2022, Jul 6, 2017 (3 updates tracked since 2017).

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About Alfonso Manuel Ortiz Vargas Md NPPES

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

ALFONSO MANUEL ORTIZ VARGAS MD (NPI 1386165793) is an individual nephrology provider in Coral Gables, Florida, licensed in Florida (ME156334) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1386165793

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameALFONSO MANUEL ORTIZ VARGASCredential: MD

Location Address747 PONCE DE LEON BLVD STE 605Coral Gables, FL 33134-2074

Mailing Address3450 Nw 85th Ct Apt 320Doral, FL 33122-1946 · (212) 470-8703

Phone(453) 445-4535

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 6, 2017

Last NPPES UpdateMay 25, 20223 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1386165793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME156334

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

747 PONCE DE LEON BLVD STE 605, Coral Gables, FL 33134

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Alfonso Manuel Ortiz Vargas 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 ID4183003478

PECOS Enrollment IDI20220616000625

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 4

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.

247 services71 patients

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.

71 services39 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.

42 services39 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

83.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.91

Promoting Interoperability

100

Improvement Activities

Cost

64.02

Other Providers at the Same Location NPPES

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

NEPHROLOGY SPECIALISTS OF FLORIDA, LLC.

Internal Medicine (Nephrology)

747 PONCE DE LEON BLVD STE 605
CORAL GABLES, FL 33134

Miami-Dade County (305) 407-9900

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 Alfonso Ortiz Vargas's NPI number?

The NPI number for Alfonso Ortiz Vargas is 1386165793. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Alfonso Ortiz Vargas located?

Alfonso Ortiz Vargas practices at 747 Ponce De Leon Blvd Ste 605, Coral Gables, FL 33134. The listed phone number is (453) 445-4535.

What is Alfonso Ortiz Vargas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alfonso Ortiz Vargas enrolled in Medicare?

Yes. Alfonso Ortiz Vargas 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 Alfonso Ortiz Vargas accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare and 1 other insurer list Alfonso Ortiz Vargas 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 Alfonso Ortiz Vargas affiliated with any hospitals?

According to CMS data, Alfonso Ortiz Vargas is affiliated with South Miami Hospital and Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Alfonso Ortiz Vargas was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.