ANDRES GELRUD M.D.
NPI 1689630592
Internal Medicine - Gastroenterology in Miami, FL

Q: What is Andres Gelrud's NPI number?

The NPI number for Andres Gelrud is 1689630592. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Andres Gelrud's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Andres Gelrud was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 21, 2006PECOS EnrolledAccepts Medicare Assignment

82.63/100

CMS Quality Rating

9408 SW 87TH AVE STE 200, MIAMI, FL 33176(305) 913-0666 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

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About Andres Gelrud M.d. NPPES

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

ANDRES GELRUD M.D. (NPI 1689630592) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME131069) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1689630592

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameANDRES GELRUDCredential: M.D.

Location Address9408 SW 87TH AVE STE 200Miami, FL 33176-2416

Mailing Address9500 S Dadeland Blvd, 200Miami, FL 33156-2866 · (305) 468-4185 · Fax (305) 675-3378

Phone(305) 913-0666

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateApril 21, 2006

Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1689630592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME131069

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

9408 SW 87TH AVE STE 200, Miami, FL 33176

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Other Identifiers 6

OtherME131069FL · Florida Department Of Health

Medicaid200302230IN

Medicaid64078728KY

Medicaid2478724OH

OtherP00124490OH · Rail Road Medicare

Medicaid4047831TN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andres Gelrud 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 ID3072504406

PECOS Enrollment IDI20170801002992

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 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.

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.

88 services72 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services53 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.

52 services51 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.

41 services37 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.

32 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

22 services16 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

21 services21 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

12 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

South Miami Hospital

Acute Care Hospitals · South Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100154

Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County

Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100314

Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County

Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101313

Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

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.

82.63/100

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

Scored as part of a group practice

Quality

74.96

Promoting Interoperability

100

Improvement Activities

Cost

67.14

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Other Providers at the Same Location NPPES 14

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

GASTRO HEALTH, LLC

Internal Medicine (Gastroenterology)