DR. IRINA LICEA MD
NPI 1649454091
Family Medicine in Miami, FL

Q: What is Irina Licea's NPI number?

The NPI number for Irina Licea is 1649454091. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Q: What is Irina Licea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Irina Licea was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 20, 2007PECOS EnrolledAccepts Medicare Assignment

4.64/100

CMS Quality Rating

1321 NW 14TH ST STE 102, MIAMI, FL 33125(305) 545-4980(305) 545-4913 Get Directions Write a Review

NPPES record last updated: June 9, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Irina Licea Md NPPES

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

DR. IRINA LICEA MD (NPI 1649454091) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 100912) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1649454091

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IRINA LICEACredential: MD

Location Address1321 NW 14TH ST STE 102Miami, FL 33125-1653

Mailing Address1321 Nw 14th St Ste 102Miami, FL 33125-1653 · (305) 545-4980 · Fax (305) 545-4913

Phone(305) 545-4980

Fax(305) 545-4913

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateDecember 20, 2007

Last NPPES UpdateJune 9, 2014

✔ NPI 1649454091 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 · ME 100912

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.

1321 NW 14TH ST STE 102, Miami, FL 33125

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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 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

Dr. Irina Licea 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 ID5890879126

PECOS Enrollment IDI20100224000979

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

Medicare enrollment records show Irina Licea reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roa-Licea MD, PA

0.1 mi

Specialist

1321 NW 14TH STREET, SUITE 601
Miami, FL 33125

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1033445069 (305) 545-4980

Qmc LLC

4.1 mi

Hospitalist

5201 BLUE LAGOON DR FL 89
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
183 clinicians in this Medicare group

NPI 1003216391 (305) 554-1700

Southern Winds Hospital LLC

8.2 mi

General Practice

4225 W 20TH AVE
Hialeah, FL 33012

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1871176222 (305) 558-9700

First Docs PC

1,189 mi

Internal Medicine

1525 OXFORD LN
Naperville, IL 60565

Reassigned Medicare billing, Florida enrollment
390 clinicians in this Medicare group

NPI 1417655465 (702) 762-2485

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 12

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

2,419 services285 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

822 services238 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.

623 services402 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

210 services146 patients

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.

157 services21 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

154 services16 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.

136 services25 patients

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.

101 services33 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

68 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

64 services25 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

30 services30 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100050

Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County

Emergency services

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100053

Location651 E 25th StHialeah, FL 33013 · 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

Keralty Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100284

Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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.

4.64/100

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

Individually scored

Quality

Improvement Activities

Cost

15.49

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers18 claims54 services$6.83 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers77 claims1,389 services$4.84 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

3 suppliers66 claims21,832 services$0.26 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers16 claims6,981 services$0.58 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

3 suppliers38 claims39 services$57.39 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$32.39 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAUL ROA MD

Family Medicine

1321 NW 14TH ST STE 102
MIAMI, FL 33125

Miami-Dade County (305) 545-4980

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 Irina Licea's NPI number?

The NPI number for Irina Licea is 1649454091. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Where is Irina Licea located?

Irina Licea practices at 1321 NW 14th St Ste 102, Miami, FL 33125. The listed phone number is (305) 545-4980.

What is Irina Licea's specialty?

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

Is Irina Licea enrolled in Medicare?

Yes. Irina Licea 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 Irina Licea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Licea reassigns Medicare benefits to 4 organizations: Roa-Licea MD, PA (Miami, FL), Qmc LLC (Miami, FL), Southern Winds Hospital LLC (Hialeah, FL) and First Docs PC (Naperville, IL). 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 Irina Licea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irina Licea accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 1 other insurer list Irina Licea 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 Irina Licea affiliated with any hospitals?

According to CMS data, Irina Licea is affiliated with Baptist Hospital Of Miami, Larkin Community Hospital Palm Springs Campus, Steward Hialeah Hospital, Hca Florida Mercy Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Irina Licea was last updated on June 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.