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KAROL SANCHEZ
NPI 1609281559
Hospitalist in Titusville, FL

Active since June 29, 2014PECOS EnrolledAccepts Medicare Assignment
951 N WASHINGTON AVE, PARRISH MEDICAL CENTER, TITUSVILLE, FL 32796(321) 268-6111(321) 268-6360 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karol Sanchez NPPES

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

KAROL SANCHEZ (NPI 1609281559) is an individual hospitalist provider in Titusville, Florida, licensed in Florida (ME138363) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Parrish Medical Center, and is a graduate of Ponce School Of Medicine (2013).

NPPES Registry Identity

NPI1609281559
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKAROL SANCHEZ
Location Address951 N WASHINGTON AVE, PARRISH MEDICAL CENTERTitusville, FL 32796
Mailing Address2213 Ponce BypPonce, PR 00717-1318
Phone(321) 268-6111
Fax(321) 268-6360
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2013
Enumeration DateJune 29, 2014
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1609281559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME138363
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.
951 N WASHINGTON AVE, Titusville, FL 32796
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Other Names 1

Other Name (5)Karol Sanchez Marrero

Other Identifiers 1

Medicaid105337800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Karol Sanchez 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 ID8628404555
PECOS Enrollment IDI20200212001030
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

3

Medicare enrollment records show Karol Sanchez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Brevard Medical Support, Inc
3.4 mi
Multi-Specialty
250 HARRISON ST
Titusville, FL 32780
  • Reassigned Medicare billing, Florida enrollment
  • 184 clinicians in this Medicare group
NPI 1609834886 (321) 268-6868
Florida Hospital Healthcare Partners, Inc
45 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Apogee Medical Group, Florida Inc
1,868 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1386916104 (602) 778-3600

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 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 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.
422 services185 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.
293 services146 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.
145 services145 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services18 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.
21 services21 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Parrish Medical Center

Acute Care Hospitals · Titusville, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100028
Location951 N Washington AveTitusville, FL 32796 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32796 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$912.87 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 suppliers17 claims17 services$64.22 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.

KATRINA KILLIAN
Speech-Language Pathologist
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
DR. KAUSHIKKUMAR KANTILAL PATEL M.D.
Hospitalist
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP. HOSPITALIST DEPT
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
NORTH BREVARD COUNTY HOSPITAL DISTRICT
General Acute Care Hospital
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-6100
MR. KIRIT A PATEL MD
Radiology (Diagnostic Radiology)
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-6333
DR. CHRISTOPHER M MANION MD
Hospitalist
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP - HOSPITALIST DEPT
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
PETER LIPSY M.D.
Hospitalist
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (321) 268-6111
BLISS HAHN DRINKWATER DNP
Nurse Practitioner
951 N WASHINGTON AVE
TITUSVILLE, FL 32796
Brevard County (407) 234-5004
DR. ARVIND ALEX D'CRUZ M.D.,M.R.C.P.(U.K)
Psychiatry & Neurology (Neurology)
951 N WASHINGTON AVE, PMG. HOSPITALIST.NEUROLOGY DEPT
TITUSVILLE, FL 32796
Brevard County (321) 268-6111

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 Karol Sanchez's NPI number?

The NPI number for Karol Sanchez is 1609281559. It was assigned to this individual provider in the NPPES registry on June 29, 2014. The provider is also known as Karol Sanchez Marrero.

Where is Karol Sanchez located?

Karol Sanchez practices at 951 N Washington Ave Parrish Medical Center, Titusville, FL 32796. The listed phone number is (321) 268-6111.

What is Karol Sanchez's specialty?

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

Is Karol Sanchez enrolled in Medicare?

Yes. Karol Sanchez 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 Karol Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karol Sanchez reassigns Medicare benefits to 3 organizations: North Brevard Medical Support, Inc (Titusville, FL), Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL) and Apogee Medical Group, Florida Inc (Scottsdale, AZ). 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 Karol Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karol Sanchez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Karol Sanchez 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 Karol Sanchez affiliated with any hospitals?

According to CMS data, Karol Sanchez is affiliated with Parrish Medical Center.

When was this NPI record last updated?

The NPPES record for Karol Sanchez was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.