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RAUL IVAN VILA M.D.
NPI 1467535112
Pathology - Anatomic Pathology & Clinical Pathology in Miami, FL

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
2500 SW 75TH AVE, MIAMI, FL 33155(305) 264-5252(305) 266-1290 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raul Ivan Vila M.d. NPPES

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

RAUL IVAN VILA M.D. (NPI 1467535112) is an individual anatomic pathology & clinical pathology provider in Miami, Florida, licensed in Florida (ME0049181) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Keralty Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1467535112
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRAUL IVAN VILACredential: M.D.
Location Address2500 SW 75TH AVEMiami, FL 33155-2805
Mailing Address3450 Buschwood Park Dr Ste 150Tampa, FL 33618-4465 · (813) 935-8501 · Fax (813) 935-8541
Phone(305) 264-5252
Fax(305) 266-1290
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1467535112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in FL · ME0049181
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.
2500 SW 75TH AVE, Miami, FL 33155
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Raul Ivan Vila 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 ID8527095843
PECOS Enrollment IDI20100409000058
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 Raul Vila reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raul I Vila MD & Associates PA
Same address
Anatomic Pathology & Clinical Pathology
2500 SW 75TH AVE
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1073653291 (305) 264-5252
East Coast Pathology Associates, PA
10 mi
Anatomic Pathology & Clinical Pathology
1100 NW 95TH ST
Miami, FL 33150
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1134193634 (305) 835-4725
Ruffolo Hooper & Associates MD PA
207 mi
Anatomic Pathology & Clinical Pathology
5751 HOOVER BLVD
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 56 clinicians in this Medicare group
NPI 1790732360 (813) 886-8334

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

Hospital Affiliations CMS Care Compare

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

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33155 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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ELIZABETH ESTRADA MESA MD, DO
Family Medicine
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
ANGELINA SOFIA ESTRELLA DPM
Podiatrist
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
WESTCHESTER GENERAL HOSPITAL, INC.
Radiology (Diagnostic Radiology)
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
MISS ESTHER MALKA ROTH D.O
Family Medicine
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
GREGORY HUNGRIA MD
Family Medicine
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
YADELYS DEL VALLE RODRIGUEZ REYES MD
Student in an Organized Health Care Education/Training Program
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
DR. BEATRIZ ALEXANDRA QUINONES COLON MD
Student in an Organized Health Care Education/Training Program
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252
DR. JAYASEN SINGH MD
Student in an Organized Health Care Education/Training Program
2500 SW 75TH AVE
MIAMI, FL 33155
Miami-Dade County (305) 264-5252

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 Raul Vila's NPI number?

The NPI number for Raul Vila is 1467535112. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Raul Vila located?

Raul Vila practices at 2500 SW 75th Ave, Miami, FL 33155. The listed phone number is (305) 264-5252.

What is Raul Vila's specialty?

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

Is Raul Vila enrolled in Medicare?

Yes. Raul Vila 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 Raul Vila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Vila reassigns Medicare benefits to 3 organizations: Raul I Vila MD & Associates PA (Miami, FL), East Coast Pathology Associates, PA (Miami, FL) and Ruffolo Hooper & Associates MD PA (Tampa, 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 Raul Vila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Vila accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Raul Vila 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 Raul Vila affiliated with any hospitals?

According to CMS data, Raul Vila is affiliated with Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Raul Vila was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.