ROMUALDO JOSE SEGUROLA JR. MD
NPI 1649273186
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Doral, FL

Active since May 29, 2005PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
3650 NW 82ND AVE, SUITE 208, DORAL, FL 33166(305) 406-3596(305) 406-3599 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Romualdo Jose Segurola Jr. Md NPPES

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

ROMUALDO JOSE SEGUROLA JR. MD (NPI 1649273186) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Doral, Florida, licensed in Florida (ME80950) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Aventura Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1649273186
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameROMUALDO JOSE SEGUROLA JR.Credential: MD
Location Address3650 NW 82ND AVE, SUITE 208Doral, FL 33166-6658
Mailing Address3650 Nw 82nd Ave, Suite 208Doral, FL 33166-6658 · (305) 406-3596 · Fax (305) 406-3599
Fax(305) 406-3599
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 29, 2005
Last NPPES UpdateDecember 16, 2009
NPI 1649273186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in FL · ME80950
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME80950 (FL)
3650 NW 82ND AVE, Doral, FL 33166

Other Identifiers 3

Medicare ID-Type Unspecified37866Z
Medicare UPING15073
Medicaid269329100FL

Accepted 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

Romualdo Jose Segurola Jr. 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 ID5597740472
PECOS Enrollment IDI20040625000081
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

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.

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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

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 33166 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
77%66 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
15%27 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
12%43 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%449 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%236 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%384 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%423 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%345 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%423 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
98%423 patients5/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 236 patients
0%236 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.

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.

Family Medicine
3650 NW 82ND AVE, SUITE 502
DORAL, FL 33166
Family Medicine
3650 NW 82ND AVE, STE 502
DORAL, FL 33166
Psychiatry & Neurology (Neurology)
3650 NW 82ND AVE, STE 203
DORAL, FL 33166
Dentist (General Practice)
3650 NW 82ND AVE, STE 402
DORAL, FL 33166
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3650 NW 82ND AVE, SUITE 208
DORAL, FL 33166
Dentist (Orthodontics and Dentofacial Orthopedics)
3650 NW 82ND AVE, #305
DORAL, FL 33166
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3650 NW 82ND AVE, SUITE 208
DORAL, FL 33166
Specialist
3650 NW 82ND AVE, SUITE 103
DORAL, FL 33166

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 Romualdo Segurola's NPI number?

The NPI number for Romualdo Segurola is 1649273186. It was assigned to this individual provider in the NPPES registry on May 29, 2005.

Where is Romualdo Segurola located?

Romualdo Segurola practices at 3650 NW 82nd Ave Suite 208, Doral, FL 33166. The listed phone number is (305) 406-3596.

What is Romualdo Segurola's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Romualdo Segurola enrolled in Medicare?

Yes. Romualdo Segurola 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 Romualdo Segurola accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Romualdo Segurola 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 Romualdo Segurola affiliated with any hospitals?

According to CMS data, Romualdo Segurola is affiliated with Hca Florida Aventura Hospital, Hca Florida Mercy Hospital and Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Romualdo Segurola was last updated on December 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.