DR. RANDOLPH BORRERO M.D.
NPI 1467871863
Family Medicine in Miami, FL

Q: What is Randolph Borrero's NPI number?

The NPI number for Randolph Borrero is 1467871863. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Randolph Borrero's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randolph Borrero was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment

1190 NW 95TH ST, STE 205, MIAMI, FL 33150(305) 835-7045(305) 836-2359 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2021, Sep 19, 2017 (2 updates tracked since 2017).

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About Dr. Randolph Borrero M.d. NPPES

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

DR. RANDOLPH BORRERO M.D. (NPI 1467871863) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME132669) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1467871863

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RANDOLPH BORREROCredential: M.D.

Location Address1190 NW 95TH ST, STE 205Miami, FL 33150-2064

Mailing Address2570 Sw 105th TerDavie, FL 33324-7610 · (305) 495-3578

Phone(305) 835-7045

Fax(305) 836-2359

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 14, 2014

Last NPPES UpdateSeptember 25, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2023

✔ NPI 1467871863 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 · ME132669

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.

1190 NW 95TH ST, Miami, FL 33150

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Randolph Borrero 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 ID1153620059

PECOS Enrollment IDI20180215000734

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 8

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.

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.

718 services88 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

200 services12 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.

181 services38 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

54 services53 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.

35 services35 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.

33 services27 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

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 33150 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$13.78 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$69.23 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers15 claims15 services$18.50 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 20

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

MARIE-CARMELLE C LIBURD M.D.

Obstetrics & Gynecology

1190 NW 95TH ST, SUITE 105
MIAMI, FL 33150

Miami-Dade County (305) 696-9400

MISS DAPHNEE CHARLES PA

Nurse Practitioner (Adult Health)

1190 NW 95TH ST, SUITE 401
MIAMI, FL 33150

Miami-Dade County (305) 836-6221

HUMPHREY C. JONES M.D.

Surgery (Vascular Surgery)

1190 NW 95TH ST, SUITE 301
MIAMI, FL 33150

Miami-Dade County (305) 694-1374

INTERVENTIONAL RADIOLOGY SPECIALISTS OF MIAMI INC

Radiology (Vascular & Interventional Radiology)

1190 NW 95TH ST, SUITE 301
MIAMI, FL 33150

Miami-Dade County (305) 904-3490

LUIS MARIANO ROQUETA SR. SURGICAL ASSISTANT

Specialist/Technologist, Other (Surgical Assistant)

1190 NW 95TH ST, STE # 306
MIAMI, FL 33150

Miami-Dade County (305) 693-0000

AFZAL H KHAN

Internal Medicine (Hematology & Oncology)

1190 NW 95TH ST, # 104
MIAMI, FL 33150

Miami-Dade County (305) 693-5550

DR. ALANDE BREZAULT M.D.

Internal Medicine

1190 NW 95TH ST, SUITE 405
MIAMI, FL 33150

Miami-Dade County (305) 835-9264

ANDREW E. NULLMAN, M.D., P.A.

Internal Medicine (Gastroenterology)

1190 NW 95TH ST
MIAMI, FL 33150

Miami-Dade County (305) 691-4449

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 Randolph Borrero's NPI number?

The NPI number for Randolph Borrero is 1467871863. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Randolph Borrero located?

Randolph Borrero practices at 1190 NW 95th St Ste 205, Miami, FL 33150. The listed phone number is (305) 835-7045.

What is Randolph Borrero's specialty?

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

Is Randolph Borrero enrolled in Medicare?

Yes. Randolph Borrero 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 Randolph Borrero accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Randolph Borrero 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 Randolph Borrero affiliated with any hospitals?

According to CMS data, Randolph Borrero is affiliated with Baptist Hospital Of Miami and Jackson Health System.

When was this NPI record last updated?

The NPPES record for Randolph Borrero was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.