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MR. JONATHAN ADAM FIALKOW MD
NPI 1538176557
Internal Medicine - Cardiovascular Disease in Miami, FL

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
7400 SW 87TH AVENUE, SUITE 100, MIAMI, FL 33173(305) 275-8200(305) 274-7812 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 12, 2022, Jan 30, 2022 (2 updates tracked since 2022).

About Mr. Jonathan Adam Fialkow Md NPPES

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

MR. JONATHAN ADAM FIALKOW MD (NPI 1538176557) is an individual cardiovascular disease provider in Miami, Florida, licensed in Florida (ME54286) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Boston University School Of Medicine (1985).

NPPES Registry Identity

NPI1538176557
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. JONATHAN ADAM FIALKOWCredential: MD
Location Address7400 SW 87TH AVENUE, SUITE 100Miami, FL 33173
Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 204-4201
Phone(305) 275-8200
Fax(305) 274-7812
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1985
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1538176557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME54286
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
7400 SW 87TH AVENUE, Miami, FL 33173
Open in Google Maps ↗

Other Identifiers 1

Medicaid009320700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.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

Mr. Jonathan Adam Fialkow Md 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 ID7719061340
PECOS Enrollment IDI20080221000095
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101312
Location3301 Overseas HwyMarathon, FL 33050 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers14 claims53 services$12.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers17 claims17 services$47.52 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$13.25 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers19 claims19 services$10.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers28 claims114 services$1.75 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 2

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

DR. IAN DEL CONDE POZZI M.D.
Internal Medicine (Cardiovascular Disease)
7400 SW 87TH AVENUE, SUITE 100
MIAMI, FL 33173
Miami-Dade County (305) 275-8200
DR. RAMON LUIS LLORET MD
Internal Medicine (Cardiovascular Disease)
7400 SW 87TH AVENUE, SUITE 100
MIAMI, FL 33173
Miami-Dade County (305) 275-8200

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 Jonathan Fialkow's NPI number?

The NPI number for Jonathan Fialkow is 1538176557. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jonathan Fialkow located?

Jonathan Fialkow practices at 7400 SW 87th Avenue Suite 100, Miami, FL 33173. The listed phone number is (305) 275-8200.

What is Jonathan Fialkow's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jonathan Fialkow enrolled in Medicare?

Yes. Jonathan Fialkow 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 Jonathan Fialkow accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Jonathan Fialkow 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 Jonathan Fialkow affiliated with any hospitals?

According to CMS data, Jonathan Fialkow is affiliated with Baptist Hospital Of Miami, Doctors Hospital and Fishermen's Community Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Fialkow was last updated on July 12, 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.