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

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: July 19, 2026.

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

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 Jackson Health System, and maintains a secondary practice location in Miami.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 15200 NE 2nd AveMiami, FL 33137-2706 · Phone (305) 762-3883 · Fax (305) 762-1558

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 2024 & 2026 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

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 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.

MICHAEL T LEMONT MD
Internal Medicine (Nephrology)
1190 NW 95TH ST, SUITE 207
MIAMI, FL 33150
Miami-Dade County (305) 835-7045
ANNE MARIE V MILES MD
Internal Medicine (Nephrology)
1190 NW 95TH ST, SUITE 207
MIAMI, FL 33150
Miami-Dade County (305) 835-7045
SEYMOUR J FRANKFURT MD
Internal Medicine (Nephrology)
1190 NW 95TH ST, SUITE 207
MIAMI, FL 33150
Miami-Dade County (305) 835-7045
DR. CLAUDE ALAIN INNOCENT M.D.
Internal Medicine
1190 NW 95TH ST, SUITE 405
MIAMI, FL 33150
Miami-Dade County (305) 835-9264
DR. ALANDE BREZAULT M.D.
Internal Medicine
1190 NW 95TH ST, SUITE 405
MIAMI, FL 33150
Miami-Dade County (305) 835-9264
MR. KENNETH CLYDE FISCHER MD
Psychiatry & Neurology (Neurology)
1190 NW 95TH ST, STE 402
MIAMI, FL 33150
Miami-Dade County (305) 696-7666
MOSES O ALADE MD
Family Medicine
1190 NW 95TH ST, SUITE 401
MIAMI, FL 33150
Miami-Dade County (305) 836-6221
DR. DAVID J MOND MD
Radiology (Vascular & Interventional Radiology)
1190 NW 95TH ST, SUITE 301
MIAMI, FL 33150
Miami-Dade County (305) 904-3490

Frequently Asked Questions

What is Randolph Borrero's NPI number?

The NPI number assigned to this healthcare provider is 1467871863, enumerated as an "individual" on April 14, 2014.

Where is the provider located?

The provider is located at 1190 NW 95TH ST STE 205 MIAMI, FL 33150 and the phone number is (305) 835-7045.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Randolph Borrero accept?

The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to verify.

Is Randolph Borrero affiliated with any hospitals?

Randolph Borrero is affiliated with: JACKSON HEALTH SYSTEM.