DR. RAUL MEDEROS JR. M.D.
NPI 1396861712
Surgery in Hialeah, FL

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
372 W 47 STREET, HIALEAH, FL 33012(305) 698-0112(305) 698-0169 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Raul Mederos Jr. M.d. NPPES

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

DR. RAUL MEDEROS JR. M.D. (NPI 1396861712) is an individual surgery provider in Hialeah, Florida, licensed in Florida (ME92628) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Steward Hialeah Hospital, and is a graduate of University Of Florida College Of Medicine (2002).

NPPES Registry Identity

NPI1396861712
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAUL MEDEROS JR.Credential: M.D.
Location Address372 W 47 STREETHialeah, FL 33012-3950
Mailing Address372 W 47 StHialeah, FL 33012-3950 · (305) 698-0112 · Fax (305) 698-0169
Fax(305) 698-0169
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2002
Enumeration DateMarch 21, 2007
Last NPPES UpdateDecember 23, 2009
NPI 1396861712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME92628
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

372 W 47 STREET, Hialeah, FL 33012

Accepted 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. Raul Mederos Jr. 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 ID2264520204
PECOS Enrollment IDI20071215000017
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 2

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.
36 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.
28 services26 patients

Hospital Affiliations CMS Care Compare

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

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100053
Location651 E 25th StHialeah, FL 33013 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Raul Mederos's NPI number?

The NPI number for Raul Mederos is 1396861712. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Raul Mederos located?

Raul Mederos practices at 372 W 47 Street, Hialeah, FL 33012. The listed phone number is (305) 698-0112.

What is Raul Mederos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raul Mederos enrolled in Medicare?

Yes. Raul Mederos 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 Raul Mederos accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Raul Mederos 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 Raul Mederos affiliated with any hospitals?

According to CMS data, Raul Mederos is affiliated with Steward Hialeah Hospital.

When was this NPI record last updated?

The NPPES record for Raul Mederos was last updated on December 23, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.