JOSE ANTONIO JALLER GRANADOS MD
NPI 1407312887
Dermatology in Miami, FL

Q: What is Jose Jaller Granados's NPI number?

The NPI number for Jose Jaller Granados is 1407312887. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Jose Jaller Granados's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment

1150 NW 14TH ST FL 2, MIAMI, FL 33136(305) 243-6704 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Jul 2, 2024, Feb 11, 2019 (3 updates tracked since 2019).

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About Jose Antonio Jaller Granados Md NPPES

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

JOSE ANTONIO JALLER GRANADOS MD (NPI 1407312887) is an individual dermatology provider in Miami, Florida, licensed in Florida (166904) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407312887

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameJOSE ANTONIO JALLER GRANADOSCredential: MD

Location Address1150 NW 14TH ST FL 2Miami, FL 33136-2137

Mailing Address1150 Nw 14th St Fl 2Miami, FL 33136-2137

Phone(305) 243-6704

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 11, 2019

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1407312887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in FL · 166904

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1150 NW 14TH ST FL 2, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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

Jose Antonio Jaller Granados 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 ID8123566999

PECOS Enrollment IDI20240813000323

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.

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

$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.

Other Providers at the Same Location NPPES 9

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

DR. SCOTT ELMAN M.D.

Dermatology