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DR. JUAN PABLO ZAMBRANO MD
NPI 1467442558
Internal Medicine - Interventional Cardiology in Miami, FL

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
9380 SW 150TH ST, SUITE 210, MIAMI, FL 33176(305) 256-5018 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Juan Pablo Zambrano Md NPPES

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

DR. JUAN PABLO ZAMBRANO MD (NPI 1467442558) is an individual interventional cardiology provider in Miami, Florida, licensed in Florida (80831) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1467442558
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JUAN PABLO ZAMBRANOCredential: MD
Location Address9380 SW 150TH ST, SUITE 210Miami, FL 33176-7947
Mailing Address1500 Nw 12th Ave, Suite 810Miami, FL 33136-1051 · (305) 585-6649
Phone(305) 256-5018
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 28, 2005
Last NPPES UpdateOctober 1, 2014
✔ NPI 1467442558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · 80831
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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME80831 (FL)
9380 SW 150TH ST, Miami, FL 33176
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified01577ZFL
Medicare UPINI32123
Other01577FL · Bcbs
Medicaid2723158FL
Other51742FL · Nhp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. Juan Pablo Zambrano 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 ID2860438553
PECOS Enrollment IDI20050705000274
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.

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.
151 services95 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.
70 services69 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.
47 services33 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
46 services45 patients
Ultrasound of heart 93307
An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.
33 services33 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.
19 services18 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 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
$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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Other Providers at the Same Location NPPES 8

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

ELISEO GARCIA GALLARDO
Health and Wellness Coach
9380 SW 150TH ST
MIAMI, FL 33176
Miami-Dade County (786) 375-1546
DR. RAUL GUSTAVO GOSTHE M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
9380 SW 150TH ST, SUITE 270
MIAMI, FL 33176
Miami-Dade County (305) 256-4334
DR. MOISES JACOBS M.D.,F.A.C.S.
Surgery
9380 SW 150TH ST, SUITE 250
MIAMI, FL 33176
Miami-Dade County (305) 256-5242
DR. RODERICK JUDE ROMERO M.D.
Surgery
9380 SW 150TH ST, SUITE 250
MIAMI, FL 33176
Miami-Dade County (305) 256-5030
DR. EDDIE GOMEZ M.D.,F.A.C.S.
General Practice
9380 SW 150TH ST, SUITE 250
MIAMI, FL 33176
Miami-Dade County (305) 256-5242
DR. ANDREW JAMES BEECH D.M.D
Oral & Maxillofacial Surgery
9380 SW 150TH ST
MIAMI, FL 33176
Miami-Dade County (305) 256-5270
MEDCHOICE HEALTH CENTERS, INC.
Family Medicine
9380 SW 150TH ST, SUITE 100
MIAMI, FL 33176
Miami-Dade County (305) 253-2665
LAURA VICTORIA MURIAS
Nurse Practitioner (Adult Health)
9380 SW 150TH ST
MIAMI, FL 33176
Miami-Dade County (786) 691-5560

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 Juan Zambrano's NPI number?

The NPI number for Juan Zambrano is 1467442558. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Juan Zambrano located?

Juan Zambrano practices at 9380 SW 150th St Suite 210, Miami, FL 33176. The listed phone number is (305) 256-5018.

What is Juan Zambrano's specialty?

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

Is Juan Zambrano enrolled in Medicare?

Yes. Juan Zambrano 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 Juan Zambrano accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Juan Zambrano 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 Juan Zambrano affiliated with any hospitals?

According to CMS data, Juan Zambrano is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Juan Zambrano was last updated on October 1, 2014. 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.