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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: November 08, 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 Baptist Hospital Of Miami, 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
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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

8

Medicare enrollment records show Randolph Borrero reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Randolph Borrero MD PA
Same address
Family Medicine
1190 NW 95TH ST STE 205
Miami, FL 33150
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1245826569 (305) 835-7045
Rodriguez Torrecilla LLC
4.7 mi
Internal Medicine
1611 NW 12TH AVE, SUITE # C150
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1053607143 (305) 585-3627
Public Health Trust Of Miami Dade County Florida
4.9 mi
General Acute Care Hospital
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Jmh Internal Medicine Specialist LLC
  • 17 clinicians in this Medicare group
NPI 1104857119 (305) 585-8957
Qmc LLC
6.7 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Cogent Healthcare Of Pensacola LLC
93 mi
Internal Medicine
8300 COLLIER BLVD
Naples, FL 34114
  • Reassigned Medicare billing, Florida enrollment
  • 335 clinicians in this Medicare group
NPI 1740863844 (239) 354-6000
Radial Health Southeast LLC
512 mi
Physical Medicine & Rehabilitation
2045 FOUNTAIN PROFESSIONAL CT STE A
Navarre, FL 32566
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1174159891 (850) 494-3212
First Docs PC
1,184 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485
Nova Medical Services LLC
Family Medicine
8260 W FLAGLER ST STE 2I
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 68 clinicians in this Medicare group
NPI 1952941346 (786) 715-9183

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 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
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
KWAME GYAMFI BUAHIN MD PHD
Neurological Surgery
1190 NW 95TH ST, STE 403
MIAMI, FL 33150
Miami-Dade County (305) 693-8804

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.

Which organizations bill Medicare for Randolph Borrero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Borrero reassigns Medicare benefits to 8 organizations: Randolph Borrero MD PA (Miami, FL), Rodriguez Torrecilla LLC (Miami, FL), Public Health Trust Of Miami Dade County Florida (North Miami Beach, FL), Qmc LLC (Miami, FL), Cogent Healthcare Of Pensacola LLC (Naples, FL) and 3 more organizations, listed in the Medicare section above. 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 Randolph Borrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randolph Borrero accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health 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 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.