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DR. RICARDO A GIRALA M.D.
NPI 1417910282
Family Medicine in Miami, FL

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
3661 S MIAMI AVE STE 510, MIAMI, FL 33133(305) 860-1030(305) 856-0029 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ricardo A Girala M.d. NPPES

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

DR. RICARDO A GIRALA M.D. (NPI 1417910282) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 73731) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of University Of Southern California Keck School Of Medicine (1994).

NPPES Registry Identity

NPI1417910282
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICARDO A GIRALACredential: M.D.
Location Address3661 S MIAMI AVE STE 510Miami, FL 33133-4200
Mailing AddressPo Box 348447Miami, FL 33234-8447 · (305) 860-1030 · Fax (305) 856-0029
Phone(305) 860-1030
Fax(305) 856-0029
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1994
Enumeration DateApril 11, 2006
Last NPPES UpdateJanuary 5, 2012
✔ NPI 1417910282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 73731
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3661 S MIAMI AVE STE 510, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 3

OtherME73731FL · License
Medicare UPING48126FL
Medicare ID-Type Unspecified41873BFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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. Ricardo A Girala 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 ID749474070
PECOS Enrollment IDI20110118000669
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 8

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.
106 services32 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.
80 services33 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.
48 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
47 services41 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.
34 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

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 33133 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
$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 3

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

RAFAEL G. MADRIGAL, M.D.,P.A,
Internal Medicine
3661 S MIAMI AVE STE 510
MIAMI, FL 33133
Miami-Dade County (305) 285-2272
LEYDA E BOWES MD PA
Specialist
3661 S MIAMI AVE STE 510
MIAMI, FL 33133
Miami-Dade County (305) 856-6555
KEY BISCAYNE MEDICAL CENTER INC
Internal Medicine
3661 S MIAMI AVE STE 510
MIAMI, FL 33133
Miami-Dade County (305) 860-1030

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 Ricardo Girala's NPI number?

The NPI number for Ricardo Girala is 1417910282. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Ricardo Girala located?

Ricardo Girala practices at 3661 S Miami Ave Ste 510, Miami, FL 33133. The listed phone number is (305) 860-1030.

What is Ricardo Girala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ricardo Girala enrolled in Medicare?

Yes. Ricardo Girala 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 Ricardo Girala accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Ricardo Girala 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 Ricardo Girala affiliated with any hospitals?

According to CMS data, Ricardo Girala is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Ricardo Girala was last updated on January 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.