DAVID PANIAGUA M.D.
NPI 1457466369
Internal Medicine - Interventional Cardiology in Miami Beach, FL

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
81.33/100
CMS Quality Rating
4300 ALTON RD STE 2070, MIAMI BEACH, FL 33140(305) 674-2690(305) 674-2693 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Sep 11, 2024, May 6, 2023 (3 updates tracked since 2023).

About David Paniagua M.d. NPPES

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

DAVID PANIAGUA M.D. (NPI 1457466369) is an individual interventional cardiology provider in Miami Beach, Florida, licensed in Florida (0077177) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1457466369
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDAVID PANIAGUACredential: M.D.
Location Address4300 ALTON RD STE 2070Miami Beach, FL 33140-2948
Mailing Address4300 Alton Rd # 2070Miami Beach, FL 33140-2948 · (305) 674-2690 · Fax (305) 674-2693
Fax(305) 674-2693
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1457466369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · 0077177
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
4300 ALTON RD STE 2070, Miami Beach, FL 33140

Other Identifiers 1

Medicaid118897100FL

Accepted 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

David Paniagua 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 ID7719988914
PECOS Enrollment IDI20230125000938
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

3

Medicare enrollment records show David Paniagua reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4300 ALTON RD, DEHIRSH MEYER TOWER SUITE 2070
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
Vascular & Interventional Radiology
4300 ALTON RD STE 2071
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
137 services67 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.
91 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
56 services49 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
36 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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.

81.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.57
Promoting Interoperability100
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 13

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

Physician Assistant
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Internal Medicine (Clinical Cardiac Electrophysiology)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Internal Medicine (Interventional Cardiology)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Nurse Practitioner (Family)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Internal Medicine (Cardiovascular Disease)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Physician Assistant
4300 ALTON RD STE 2070
MIAMI, FL 33140
Internal Medicine (Cardiovascular Disease)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140
Internal Medicine (Cardiovascular Disease)
4300 ALTON RD STE 2070
MIAMI BEACH, FL 33140

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 David Paniagua's NPI number?

The NPI number for David Paniagua is 1457466369. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is David Paniagua located?

David Paniagua practices at 4300 Alton Rd Ste 2070, Miami Beach, FL 33140. The listed phone number is (305) 674-2690.

What is David Paniagua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is David Paniagua enrolled in Medicare?

Yes. David Paniagua 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 David Paniagua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Paniagua reassigns Medicare benefits to 3 organizations: Mount Sinai Medical Center Cardiology LLC (Miami Beach, FL), Mount Sinai Vascular Institute, LLC (Miami Beach, FL) and Baylor College Of Medicine (Houston, TX). 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 David Paniagua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Paniagua accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list David Paniagua 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 David Paniagua affiliated with any hospitals?

According to CMS data, David Paniagua is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for David Paniagua was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.