DR. HECTOR JOSE CRESPO-GOSENDE M.D., P.A.
NPI 1609215771
Internal Medicine - Interventional Cardiology in Miami, FL

Q: What is Hector Crespo-gosende's NPI number?

The NPI number for Hector Crespo-gosende is 1609215771. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Q: What is Hector Crespo-gosende's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

11760 SW 40TH ST STE 606, MIAMI, FL 33175(305) 564-6424(305) 564-6425 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Aug 7, 2024, Apr 24, 2024 and 2 more (5 updates tracked since 2016).

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About Dr. Hector Jose Crespo-gosende M.d., P.a. NPPES

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

DR. HECTOR JOSE CRESPO-GOSENDE M.D., P.A. (NPI 1609215771) is an individual interventional cardiology provider in Miami, Florida, licensed in Florida (ME122563) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Loma Linda University School Of Medicine (2013).

NPPES Registry Identity

NPI1609215771

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. HECTOR JOSE CRESPO-GOSENDECredential: M.D., P.A.

Location Address11760 SW 40TH ST STE 606Miami, FL 33175-8105

Mailing Address11760 Sw 40th St Ste 606Miami, FL 33175-8105 · (305) 564-6424

Phone(305) 564-6424

Fax(305) 564-6425

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2013

Enumeration DateJune 21, 2013

Last NPPES UpdateAugust 23, 20245 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1609215771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in FL · ME122563

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME 122563 (FL)

11760 SW 40TH ST STE 606, Miami, FL 33175

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Other Identifiers 1

OtherME 122563FL · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Hector Jose Crespo-gosende M.d., P.a. 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 ID1355667973

PECOS Enrollment IDI20151023001389

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 7

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.

761 services176 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.

203 services189 patients

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.

65 services44 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

46 services43 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

35 services35 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

30 services28 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

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

PEDIATRIX MEDICAL GROUP OF FLORIDA, INC

Pediatrics (Pediatric Cardiology)

11760 SW 40TH ST STE 606
MIAMI, FL 33175

Miami-Dade County (305) 823-3590

HECTOR JOSE CRESPO-GOSENDE, M.D., P.A. CARDIAC & VASCULAR INNOVATIONS

Internal Medicine (Interventional Cardiology)

11760 SW 40TH ST STE 606
MIAMI, FL 33175

Miami-Dade County (305) 564-6424

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 Hector Crespo-gosende's NPI number?

The NPI number for Hector Crespo-gosende is 1609215771. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Hector Crespo-gosende located?

Hector Crespo-gosende practices at 11760 SW 40th St Ste 606, Miami, FL 33175. The listed phone number is (305) 564-6424.

What is Hector Crespo-gosende's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Hector Crespo-gosende enrolled in Medicare?

Yes. Hector Crespo-gosende 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 Hector Crespo-gosende accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Molina Healthcare list Hector Crespo-gosende 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 Hector Crespo-gosende affiliated with any hospitals?

According to CMS data, Hector Crespo-gosende is affiliated with Baptist Hospital Of Miami, Hca Florida Mercy Hospital and Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Hector Crespo-gosende was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.