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GILBERTO G CONCEPCION M.D.
NPI 1679572879
Internal Medicine - Interventional Cardiology in South Miami, FL

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
6140 SW 70TH ST, SECOND FLOOR, SOUTH MIAMI, FL 33143(305) 702-9393(877) 221-8306 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilberto G Concepcion M.d. NPPES

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

GILBERTO G CONCEPCION M.D. (NPI 1679572879) is an individual interventional cardiology provider in South Miami, Florida, licensed in Florida (ME47144) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1679572879
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameGILBERTO G CONCEPCIONCredential: M.D.
Location Address6140 SW 70TH ST, SECOND FLOORSouth Miami, FL 33143-3419
Mailing AddressPo Box 430852Miami, FL 33243-0852 · (305) 702-9393 · Fax (877) 221-8306
Phone(305) 702-9393
Fax(877) 221-8306
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 30, 2017
✔ NPI 1679572879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · ME47144
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
6140 SW 70TH ST, South Miami, FL 33143
Open in Google Maps ↗

Other Identifiers 5

Medicaid061775000FL
Medicare UPINE89996
Medicare PIN09520A
Medicare PIN09520D
Medicare PIN09520FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Gilberto G Concepcion 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.

PECOS PAC ID6901702836
PECOS Enrollment IDI20040309000093
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 8

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
314 services302 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.
94 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
80 services54 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.
53 services34 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
43 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services26 patients

Hospital Affiliations CMS Care Compare 2

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

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

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL
OwnershipProprietary
CMS Certification Number100181
Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 9

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

IJACONSULTANTS PLLC
Internal Medicine
6140 SW 70TH ST, SECOND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (954) 476-7933
JORDAN FABRIKANT, D.O., P.A.
Dermatology
6140 SW 70TH ST, SECOND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7577
DR. KAREN SPIRITTO DNP, APRN, FNP-BC
Nurse Practitioner (Family)
6140 SW 70TH ST
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7723
GASTROENTEROLOGY ASSOCIATES OF S FL
Internal Medicine (Gastroenterology)
6140 SW 70TH ST, 2ND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 665-7523
GILBERTO CONCEPCION MD PA
Internal Medicine (Cardiovascular Disease)
6140 SW 70TH ST, SECOND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 702-9393
DR. MOHAMMAD MILHIM MASRI MD
Surgery (Surgical Oncology)
6140 SW 70TH ST, SECOND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 328-8537
HELLO DR M LLC
Surgery
6140 SW 70TH ST
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7577
IRA J AGATSTEIN MD
Internal Medicine
6140 SW 70TH ST, SECOND FLOOR
SOUTH MIAMI, FL 33143
Miami-Dade County (954) 476-7933

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 Gilberto Concepcion's NPI number?

The NPI number for Gilberto Concepcion is 1679572879. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Gilberto Concepcion located?

Gilberto Concepcion practices at 6140 SW 70th St Second Floor, South Miami, FL 33143. The listed phone number is (305) 702-9393.

What is Gilberto Concepcion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gilberto Concepcion enrolled in Medicare?

Yes. Gilberto Concepcion 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 Gilberto Concepcion accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Gilberto Concepcion 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 Gilberto Concepcion affiliated with any hospitals?

According to CMS data, Gilberto Concepcion is affiliated with Larkin Community Hospital Palm Springs Campus and Larkin Community Hospital.

When was this NPI record last updated?

The NPPES record for Gilberto Concepcion was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.