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ZOILO RAFAEL ABAD MD
NPI 1649229568
Family Medicine in Miami, FL

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
3661 S MIAMI AVE, SUITE 309, MIAMI, FL 33133(305) 859-7719(305) 859-7839 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Zoilo Rafael Abad Md NPPES

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

ZOILO RAFAEL ABAD MD (NPI 1649229568) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME82104) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1649229568
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameZOILO RAFAEL ABADCredential: MD
Location Address3661 S MIAMI AVE, SUITE 309Miami, FL 33133-4236
Mailing Address3661 S Miami Ave, Suite 309Miami, FL 33133-4236 · (305) 859-7719 · Fax (305) 859-7839
Phone(305) 859-7719
Fax(305) 859-7839
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMay 8, 2006
Last NPPES UpdateApril 26, 2013
✔ NPI 1649229568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME82104
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3661 S MIAMI AVE, Miami, FL 33133
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Other Identifiers 4

Medicare UPINH31360FL
Medicaid269602900FL
Medicare PINU3598FL
Medicare ID-Type UnspecifiedU3598FL

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zoilo Rafael Abad 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 ID6608837554
PECOS Enrollment IDI20041023000051
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

2

Medicare enrollment records show Zoilo Abad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Z Rafael Abad MD PA
Same address
Family Medicine
3661 S MIAMI AVE, SUITE 309
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
NPI 1730523382 (305) 859-7719
Inpatient Consultants Of Florida Inc
212 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000

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 4

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.

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.
121 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%38 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims144 services$185.02 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238
DME-Medical/Surgical Supplies · category DA023N
1 supplier35 claims1,230 services$20.36 avg. paid by Medicare
Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions E0467
DME-Other DME · category DE005N
1 supplier11 claims33 services$1,046.67 avg. paid by Medicare
Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access E2510
DME-Other DME · category DE000N
1 supplier14 claims41 services$621.63 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.32 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.

ROSENDO GALBAN C.S.A
Community Health Worker
3661 S MIAMI AVE, ST.708
MIAMI, FL 33133
Miami-Dade County (305) 856-1002
DR. FERNANDO JULIO ALVAREZ PEREZ M.D.
Specialist
3661 S MIAMI AVE, SUITE 106
MIAMI, FL 33133
Miami-Dade County (305) 854-9966
MS. ANA G. MARTINEZ FUENTES CRNA
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, STE 902
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
3661 S MIAMI AVE, SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 652-8600
CARLOS M DE CESPEDES JR,MD.P.A.
Obstetrics & Gynecology (Gynecology)
3661 S MIAMI AVE, 505
MIAMI, FL 33133
Miami-Dade County (305) 556-7809
J ARTHUR BOLT
Nurse Anesthetist, Certified Registered
3661 S MIAMI AVE, SUITE 107
MIAMI, FL 33133
Miami-Dade County (305) 854-0302
AYMARAH M ROBLES MD PA
Internal Medicine (Pulmonary Disease)
3661 S MIAMI AVE, MERCY PROFESSIONAL BUILDING I SUITE 702
MIAMI, FL 33133
Miami-Dade County (305) 858-2282
JEFFREY LEE HORSTMYER M.D
Specialist
3661 S MIAMI AVE, SUITE 209
MIAMI, FL 33133
Miami-Dade County (305) 856-8942

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 Zoilo Abad's NPI number?

The NPI number for Zoilo Abad is 1649229568. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Zoilo Abad located?

Zoilo Abad practices at 3661 S Miami Ave Suite 309, Miami, FL 33133. The listed phone number is (305) 859-7719.

What is Zoilo Abad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Zoilo Abad enrolled in Medicare?

Yes. Zoilo Abad 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 Zoilo Abad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zoilo Abad reassigns Medicare benefits to 2 organizations: Z Rafael Abad MD PA (Miami, FL) and Inpatient Consultants Of Florida Inc (Tampa, FL). 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 Zoilo Abad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zoilo Abad accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Zoilo Abad 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 Zoilo Abad affiliated with any hospitals?

According to CMS data, Zoilo Abad is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Zoilo Abad was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.