MAURICIO JAVIER HERNANDEZ ZUNIGA MD
NPI 1609335405
Internal Medicine in Atlantis, FL

Q: What is Mauricio Hernandez Zuniga's NPI number?

The NPI number for Mauricio Hernandez Zuniga is 1609335405. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Mauricio Hernandez Zuniga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

180 JFK DR STE 210, ATLANTIS, FL 33462(561) 548-1450(561) 548-1459 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2022, May 26, 2022, Mar 19, 2019 (3 updates tracked since 2019).

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About Mauricio Javier Hernandez Zuniga Md NPPES

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

MAURICIO JAVIER HERNANDEZ ZUNIGA MD (NPI 1609335405) is an individual internal medicine provider in Atlantis, Florida, licensed in Florida (ME156378) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609335405

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMAURICIO JAVIER HERNANDEZ ZUNIGACredential: MD

Location Address180 JFK DR STE 210Atlantis, FL 33462-6641

Mailing Address5301 S Congress AveAtlantis, FL 33462-1149 · (561) 548-1450 · Fax (561) 548-1459

Phone(561) 548-1450

Fax(561) 548-1459

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 19, 2019

Last NPPES UpdateJune 6, 20223 updates tracked since enumeration

NPPES CertifiedJune 6, 2022

✔ NPI 1609335405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME156378✔ Licensed in FL · ME156379

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

180 JFK DR STE 210, Atlantis, FL 33462

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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 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

Mauricio Javier Hernandez Zuniga 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 ID6204164270

PECOS Enrollment IDI20220709000321

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 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 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.

209 services86 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.

61 services60 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.

52 services51 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.

45 services24 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

93.71/100

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

Scored as part of a group practice

Quality

82.5

Promoting Interoperability

100

Improvement Activities

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.

MRS. VIRGINIA VELEZ QUINONES MD

Student in an Organized Health Care Education/Training Program