JOSE SALVADOR SOZA M.D.
NPI 1427242866
Family Medicine in Miami, FL

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
11535 SW 88TH ST, MIAMI, FL 33176(786) 595-8000(786) 533-9576 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose Salvador Soza M.d. NPPES

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

JOSE SALVADOR SOZA M.D. (NPI 1427242866) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 107981) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1427242866
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSE SALVADOR SOZACredential: M.D.
Location Address11535 SW 88TH STMiami, FL 33176-1002
Mailing Address11535 Sw 88th StMiami, FL 33176-1002 · (786) 595-8000 · Fax (786) 533-9576
Fax(786) 533-9576
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 29, 2007
Last NPPES UpdateAugust 13, 2015
NPI 1427242866 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 107981
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.
11535 SW 88TH ST, Miami, FL 33176

Other Names 1

Professional Name (2)Jose Salvador Soza M.d

Other Identifiers 2

Medicare PINFJ527YFL
Medicaid004436800FL

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

Jose Salvador Soza 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 ID6406028075
PECOS Enrollment IDI20111004000817
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 5

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.

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.
148 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services35 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.
40 services40 patients
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.
35 services22 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.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims35 services$6.94 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier81 claims16,570 services$19.84 avg. paid by Medicare
Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims435 services$42.67 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238
DME-Medical/Surgical Supplies · category DA023N
1 supplier93 claims2,790 services$20.84 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$45.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$15.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
11535 SW 88TH ST
MIAMI, FL 33176
Family Medicine
11535 SW 88TH ST
MIAMI, FL 33176
Family Medicine
11535 SW 88TH ST
MIAMI, FL 33176
Social Worker (Clinical)
11535 SW 88TH ST
MIAMI, FL 33176
Internal Medicine
11535 SW 88TH ST
MIAMI, FL 33176

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 Jose Soza's NPI number?

The NPI number for Jose Soza is 1427242866. It was assigned to this individual provider in the NPPES registry on August 29, 2007. The provider is also known as Jose Salvador Soza M.D.

Where is Jose Soza located?

Jose Soza practices at 11535 SW 88th St, Miami, FL 33176. The listed phone number is (786) 595-8000.

What is Jose Soza's specialty?

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

Is Jose Soza enrolled in Medicare?

Yes. Jose Soza 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 Jose Soza accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jose Soza 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 Jose Soza affiliated with any hospitals?

According to CMS data, Jose Soza is affiliated with Baptist Hospital Of Miami and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Jose Soza was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.