DR. JOSE CARLOS PINERO M.D.
NPI 1538468202
Hospitalist in Miami, FL

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
8900 N KENDALL DR, MIAMI, FL 33176(786) 596-7670(786) 533-9711 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2021, Apr 27, 2017, Nov 18, 2016 (3 updates tracked since 2016).

About Dr. Jose Carlos Pinero M.d. NPPES

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

DR. JOSE CARLOS PINERO M.D. (NPI 1538468202) is an individual hospitalist provider in Miami, Florida, licensed in Florida (ME120304) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538468202
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. JOSE CARLOS PINEROCredential: M.D.
Location Address8900 N KENDALL DRMiami, FL 33176-2118
Mailing AddressPo Box 198054Atlanta, GA 30384-8054
Fax(786) 533-9711
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 21, 2011
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1538468202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME120304
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 ME120304 (FL)
8900 N KENDALL DR, Miami, FL 33176

Accepted 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. Jose Carlos Pinero 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 ID941422521
PECOS Enrollment IDI20141114001584
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

14

Medicare enrollment records show Jose Pinero reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
8900 N KENDALL DR
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 685 clinicians in this Medicare group
Internal Medicine
8260 W FLAGLER ST STE 2I
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
Internal Medicine
10501 ROOSEVELT BLVD N
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
Internal Medicine
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
Hospitalist
615 N BONITA AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • 199 clinicians in this Medicare group
Hospitalist
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 clinicians in this Medicare group

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 5

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 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.
182 services101 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.
111 services109 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.
38 services38 patients
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.
28 services24 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
11 services11 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

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers14 claims14 services$28.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.54 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 supplier12 claims12 services$65.53 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.

Surgery (Surgical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Physician Assistant
8900 N KENDALL DR
MIAMI, FL 33176
Radiology (Diagnostic Radiology)
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Hospice and Palliative Medicine)
8900 N KENDALL DR
MIAMI, FL 33176
Obstetrics & Gynecology
8900 N KENDALL DR
MIAMI, FL 33176
Internal Medicine (Medical Oncology)
8900 N KENDALL DR
MIAMI, FL 33176
Hospitalist
8900 N KENDALL DR
MIAMI, FL 33176
Nurse Practitioner (Family)
8900 N KENDALL DR, MIAMI CANCER INSTITUTE
MIAMI, FL 33176

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 Jose Pinero's NPI number?

The NPI number for Jose Pinero is 1538468202. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Jose Pinero located?

Jose Pinero practices at 8900 N Kendall Dr, Miami, FL 33176. The listed phone number is (786) 596-7670.

What is Jose Pinero's specialty?

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

Is Jose Pinero enrolled in Medicare?

Yes. Jose Pinero 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 Jose Pinero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pinero reassigns Medicare benefits to 14 organizations: Baptist Health Medical Group Physicians LLC (Miami, FL), Nova Hospitalist Group LLC (Miami, FL), Seasons Medical Group Of Florida PA (Miami, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL), Cogent Healthcare Of Jacksonville, LLC (St Petersburg, FL) and 9 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 Jose Pinero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Pinero accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Jose Pinero 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 Jose Pinero affiliated with any hospitals?

According to CMS data, Jose Pinero is affiliated with Baptist Hospital Of Miami, Doctors Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Jose Pinero was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.