RAUDEL GARCIA M.D.
NPI 1629362520
Family Medicine in North Miami, FL
About Raudel Garcia M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAUDEL GARCIA M.D. (NPI 1629362520) is an individual family medicine provider in North Miami, Florida, licensed in Florida (ME131470) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 2
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
Raudel Garcia 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.
Medicare Billing Reassignments
3Medicare enrollment records show Raudel Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami Gardens, FL 33169
- Reassigned Medicare billing, Florida enrollment
- 221 clinicians in this Medicare group
Boca Raton, FL 33487
- Reassigned Medicare billing, Florida enrollment
- 35 clinicians in this Medicare group
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH MIAMI, FL 33161
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 Raudel Garcia's NPI number?
The NPI number for Raudel Garcia is 1629362520. It was assigned to this individual provider in the NPPES registry on June 8, 2011.
Where is Raudel Garcia located?
Raudel Garcia practices at 1190 NE 125th St, North Miami, FL 33161. The listed phone number is (305) 891-7500.
What is Raudel Garcia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Raudel Garcia enrolled in Medicare?
Yes. Raudel Garcia 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 Raudel Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raudel Garcia reassigns Medicare benefits to 3 organizations: Chen Neighborhood Medical Centers Of South Florida, LLC (Miami Gardens, FL), Certified Foot & Ankle Specialists (Boca Raton, FL) and Garden State Healthcare Associates, LLC (Bayonne, NJ). 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 Raudel Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raudel Garcia accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Raudel Garcia 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.
When was this NPI record last updated?
The NPPES record for Raudel Garcia was last updated on April 16, 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.
# Raudel Garcia, M.D. · NPI 1629362520
Family Medicine physician in North Miami, Florida. Individual provider, active in the CMS NPPES registry since June 8, 2011.
## Identity
- **NPI:** 1629362520 (Entity type: Individual)
- **Enumerated:** June 8, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME131470 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1190 NE 125TH ST, North Miami, FL 33161-5020
- **Phone:** (305) 891-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Chen Neighborhood Medical Centers Of South Florida, LLC (NPI 1881024800, Miami Gardens, FL); Certified Foot & Ankle Specialists (NPI 1699904169, Boca Raton, FL); Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 16, 2021
- **Other identifiers:** Medicaid 101972300 (FL); Other ME131470 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629362520) · Data from the CMS NPPES public registry.