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DR. BERENICE ANGELICA GARCIA M.D.
NPI 1508220385
Hospitalist in Opa Locka, FL

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
401 OPA LOCKA BLVD, OPA LOCKA, FL 33054(786) 535-7200(786) 535-7294 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2022, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Berenice Angelica Garcia M.d. NPPES

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

DR. BERENICE ANGELICA GARCIA M.D. (NPI 1508220385) is an individual hospitalist provider in Opa Locka, Florida, licensed in Florida (ME137895) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Miramar, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508220385
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. BERENICE ANGELICA GARCIACredential: M.D.
Location Address401 OPA LOCKA BLVDOpa Locka, FL 33054-3528
Mailing Address401 Opa Locka BlvdOpa Locka, FL 33054-3528 · (786) 535-7200 · Fax (786) 535-7294
Phone(786) 535-7200
Fax(786) 535-7294
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 7, 2016
Last NPPES UpdateJuly 16, 20222 updates tracked since enumeration
NPPES CertifiedJuly 16, 2022
✔ NPI 1508220385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME137895
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME137895 (FL)
401 OPA LOCKA BLVD, Opa Locka, FL 33054
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Oscar Health, Oscar Health Maintenance Organization of Florida 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. Berenice Angelica Garcia 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 ID8224364625
PECOS Enrollment IDI20190723002355
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

5

Medicare enrollment records show Berenice Garcia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seasons Medical Group Of Florida PA
6.5 mi
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1710238381 (877) 731-9299
Eastside Hospitalists Inc
9.3 mi
Hospitalist
3501 JOHNSON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 413 clinicians in this Medicare group
NPI 1285676957 (954) 265-2000
Florida Hospital Medicine Services, LLC.
51 mi
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
NPI 1508873183 (561) 488-8000
Cogent Healthcare Of Pensacola LLC
90 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
Inpatient Consultants Of Florida Inc
202 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000

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 3

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.
35 services25 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.
18 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33054 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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers39 claims39 services$15.73 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
3 suppliers39 claims39 services$58.12 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 15

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

JENNIFER CASTILLOUX D.O
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
CLAUDIA COTTONE MD
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
EFRAIN MARTINEZ M.D.
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
FABIANA VASTOLA MD
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
DR. SAY SALOMON JR. M.D
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
CHEN NEIGHBORHOOD MEDICAL CENTERS OF SOUTH FLORIDA LLC
Non-Pharmacy Dispensing Site
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
ROCHELLE F MARILL M.D.
Internal Medicine
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200
YAILIER RAFAEL MILANES ARIAS
Nurse Practitioner (Family)
401 OPA LOCKA BLVD
OPA LOCKA, FL 33054
Miami-Dade County (786) 535-7200

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 Berenice Garcia's NPI number?

The NPI number for Berenice Garcia is 1508220385. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Berenice Garcia located?

Berenice Garcia practices at 401 Opa Locka Blvd, Opa Locka, FL 33054. The listed phone number is (786) 535-7200.

What is Berenice Garcia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Berenice Garcia enrolled in Medicare?

Yes. Berenice Garcia 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 Berenice Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Berenice Garcia reassigns Medicare benefits to 5 organizations: Seasons Medical Group Of Florida PA (Miami, FL), Eastside Hospitalists Inc (Hollywood, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Cogent Healthcare Of Pensacola LLC (Naples, FL) and Inpatient Consultants Of Florida Inc (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 Berenice Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Berenice Garcia accept?

Health plans from 22 Health, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Berenice Garcia 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 Berenice Garcia affiliated with any hospitals?

According to CMS data, Berenice Garcia is affiliated with Memorial Hospital Miramar.

When was this NPI record last updated?

The NPPES record for Berenice Garcia was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.