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MR. REGINALD PEREIRA JR. MD
NPI 1679967657
Internal Medicine - Pulmonary Disease in Miami, FL

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
198 NW 37TH AVE FL 2, MIAMI, FL 33125(305) 267-5544(305) 500-2133 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2022, Oct 11, 2021, Jul 19, 2018 (3 updates tracked since 2018).

About Mr. Reginald Pereira Jr. Md NPPES

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

MR. REGINALD PEREIRA JR. MD (NPI 1679967657) is an individual pulmonary disease provider in Miami, Florida, licensed in Florida (ME136598) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679967657
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMR. REGINALD PEREIRA JR.Credential: MD
Location Address198 NW 37TH AVE FL 2Miami, FL 33125-4826
Mailing Address198 Nw 37th Ave Fl 2Miami, FL 33125-4826 · (305) 267-5544 · Fax (305) 500-2133
Phone(305) 267-5544
Fax(305) 500-2133
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1679967657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME136598
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME136598 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME136598 (FL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 297686 (NY)
198 NW 37TH AVE FL 2, Miami, FL 33125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mr. Reginald Pereira 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 ID7911242169
PECOS Enrollment IDI20181217003128
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 Reginald Pereira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Critical Care Services LLC
4.7 mi
Critical Care Medicine
8370 W FLAGLER ST STE 226
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 234 clinicians in this Medicare group
NPI 1306354626 (305) 928-7249
Pulmonary Physicians Of South Florida LLC
7.9 mi
Pulmonary Disease
8600 SW 92ND ST, SUITE 204A
Miami, FL 33156
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
NPI 1902892060 (305) 436-9933

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 7

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 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.
414 services102 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
221 services71 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.
47 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services11 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100183
Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

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
$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 2

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

DR. JORGE MIGUEL ORTEGA MD
Internal Medicine (Pulmonary Disease)
198 NW 37TH AVE FL 2
MIAMI, FL 33125
Miami-Dade County (305) 267-5544
DR. REGINALD PEREIRA MD
Internal Medicine (Pulmonary Disease)
198 NW 37TH AVE FL 2
MIAMI, FL 33125
Miami-Dade County (305) 267-5544

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 Reginald Pereira's NPI number?

The NPI number for Reginald Pereira is 1679967657. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Reginald Pereira located?

Reginald Pereira practices at 198 NW 37th Ave Fl 2, Miami, FL 33125. The listed phone number is (305) 267-5544.

What is Reginald Pereira's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Reginald Pereira enrolled in Medicare?

Yes. Reginald Pereira 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 Reginald Pereira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reginald Pereira reassigns Medicare benefits to 2 organizations: South Florida Critical Care Services LLC (Miami, FL) and Pulmonary Physicians Of South Florida LLC (Miami, 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 Reginald Pereira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reginald Pereira accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 9 other insurers list Reginald Pereira 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 Reginald Pereira affiliated with any hospitals?

According to CMS data, Reginald Pereira is affiliated with Baptist Hospital Of Miami, Steward Coral Gables Hospital and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Reginald Pereira was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.