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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NEMENCIO REYES RONQUILLO JR. MD
NPI 1427360890
Pathology - Anatomic Pathology & Clinical Pathology in Miami, FL

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
16115 SW 117TH AVENUE, SUITE 15, MIAMI, FL 33177(305) 359-5037(786) 509-5544 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2026, Jun 2, 2026, Dec 13, 2019 and 2 more (5 updates tracked since 2017).

About Dr. Nemencio Reyes Ronquillo Jr. Md NPPES

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

DR. NEMENCIO REYES RONQUILLO JR. MD (NPI 1427360890) is an individual anatomic pathology & clinical pathology provider in Miami, Florida, licensed in Florida (ME143106) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427360890
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. NEMENCIO REYES RONQUILLO JR.Credential: MD
Location Address16115 SW 117TH AVENUE, SUITE 15Miami, FL 33177
Mailing Address5101 Sw 8th Street, Suite 200Coral Gables, FL 33134-2442 · (305) 359-5037 · Fax (786) 509-5544
Phone(305) 359-5037
Fax(786) 509-5544
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 13, 2010
Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1427360890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in FL · ME143106✔ Licensed in KY · TP991
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
16115 SW 117TH AVENUE, Miami, FL 33177
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Nemencio Reyes Ronquillo Jr. 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 ID7517234735
PECOS Enrollment IDI20191122000697
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 11

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
561 services216 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
268 services81 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
149 services47 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
96 services75 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
51 services33 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
44 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33177 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
$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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES

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

JONATHAN SCOTT ENGLAND MD
Pathology (Anatomic Pathology & Clinical Pathology)
16115 SW 117TH AVENUE, SUITE 15
MIAMI, FL 33177
Miami-Dade County (305) 539-0919

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 Nemencio Ronquillo's NPI number?

The NPI number for Nemencio Ronquillo is 1427360890. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Nemencio Ronquillo located?

Nemencio Ronquillo practices at 16115 SW 117th Avenue Suite 15, Miami, FL 33177. The listed phone number is (305) 359-5037.

What is Nemencio Ronquillo's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nemencio Ronquillo enrolled in Medicare?

Yes. Nemencio Ronquillo 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 Nemencio Ronquillo accept?

Health plans from Oscar Health Maintenance Organization of Florida list Nemencio Ronquillo 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 Nemencio Ronquillo affiliated with any hospitals?

According to CMS data, Nemencio Ronquillo is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Nemencio Ronquillo was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.