DR. ROBERTO FOJO JR. M.D., M.B.A.
NPI 1427027291
Obstetrics & Gynecology - Obstetrics in Hialeah, FL

Q: What is Roberto Fojo's NPI number?

The NPI number for Roberto Fojo is 1427027291. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Q: What is Roberto Fojo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Fojo was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment

7150 W 20TH AVE STE 609, HIALEAH, FL 33016(305) 556-8353(305) 827-2415 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Jan 9, 2021, Jul 3, 2018 (3 updates tracked since 2018).

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About Dr. Roberto Fojo Jr. M.d., M.b.a. NPPES

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

DR. ROBERTO FOJO JR. M.D., M.B.A. (NPI 1427027291) is an individual obstetrics provider in Hialeah, Florida, licensed in Florida (ME35393) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Rutgers School Of Dental Medicine (1978).

NPPES Registry Identity

NPI1427027291

Entity TypeIndividualMale

Primary Taxonomy207VX0000X

Provider Legal NameDR. ROBERTO FOJO JR.Credential: M.D., M.B.A.

Location Address7150 W 20TH AVE STE 609Hialeah, FL 33016-5534

Mailing Address7150 W 20th Ave Ste 609Hialeah, FL 33016-5534 · (305) 556-8353 · Fax (305) 827-2415

Phone(305) 556-8353

Fax(305) 827-2415

Sole ProprietorNo

Medical School CMSRutgers School Of Dental MedicineGraduated 1978

Enumeration DateMarch 15, 2006

Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1427027291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in FL · ME35393

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

7150 W 20TH AVE STE 609, Hialeah, FL 33016

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Secondary Practice Location 1

Location 110528 SW 8th StMiami, FL 33174-2602 · Phone (305) 576-6611 · Fax (786) 476-2809

Other Identifiers 1

Medicaid067003100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare and more.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. Roberto Fojo Jr. M.d., M.b.a. 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 ID840396289

PECOS Enrollment IDI20070502000161

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.

Medicare Billing Reassignments

Medicare enrollment records show Roberto Fojo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Obstetrics & Gynecology, LLC

Same address

Obstetrics & Gynecology

7150 W 20TH AVE STE 604
Hialeah, FL 33016

Reassigned Medicare billing, Florida enrollment

NPI 1356655534 (305) 556-8353

Borinquen Health Care Center, Inc.

8.1 mi

Federally Qualified Health Center (FQHC)

5040 NW 7TH ST # 100&170
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
55 clinicians in this Medicare group

NPI 1801210299 (305) 576-6611

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.

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

$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 Roberto Fojo's NPI number?

The NPI number for Roberto Fojo is 1427027291. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Roberto Fojo located?

Roberto Fojo practices at 7150 W 20th Ave Ste 609, Hialeah, FL 33016. The listed phone number is (305) 556-8353.

What is Roberto Fojo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Roberto Fojo enrolled in Medicare?

Yes. Roberto Fojo 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 organizations bill Medicare for Roberto Fojo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Fojo reassigns Medicare benefits to 2 organizations: South Florida Obstetrics & Gynecology, LLC (Hialeah, FL) and Borinquen Health Care Center, Inc. (Miami, FL). Each 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 Roberto Fojo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Fojo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Roberto Fojo 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 Roberto Fojo was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.