FRANCESCA RIOS MD
NPI 1700462678
Emergency Medicine in Miami, FL

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2026, Sep 27, 2024, Mar 22, 2021 (3 updates tracked since 2021).

About Francesca Rios Md NPPES

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

FRANCESCA RIOS MD (NPI 1700462678) is an individual emergency medicine provider in Miami, Florida, licensed in Missouri (2024036144) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Parkview Dekalb Hospital, and maintains a secondary practice location in Cape Girardeau.

NPPES Registry Identity

NPI1700462678
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameFRANCESCA RIOSCredential: MD
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address586 Karma AveWinter Garden, FL 34787-4374
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 16, 20263 updates tracked since enumeration
NPPES CertifiedAugust 16, 2026
✔ NPI 1700462678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MO · 2024036144✔ Licensed in IN · 01098171A✔ Licensed in FL · ME163054
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 11701 Lacey StCape Girardeau, MO 63701-5230 · Phone (573) 651-5555 · Fax (573) 651-5848

Accepted 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

Francesca Rios 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 ID8527590231
PECOS Enrollment IDI20250505002609, I20251215000292
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

9

Medicare enrollment records show Francesca Rios reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
Emergency Medicine
2200 RANDALLIA DRIVE
Fort Wayne, IN 46805
  • Reassigned Medicare billing, Indiana enrollment
  • 162 clinicians in this Medicare group
Emergency Medicine
140 FRONTAGE RD
Alamo, TX 78516
  • Reassigned Medicare billing, Texas enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
3615 N. INTERSTATE 69C
Edinburg, TX 78541
  • Reassigned Medicare billing, Texas enrollment
  • 154 clinicians in this Medicare group
Emergency Medicine
1102 W TRENTON RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 257 clinicians in this Medicare group
Emergency Medicine
4702 S MCCOLL RD
Edinburg, TX 78539
  • Reassigned Medicare billing, Texas enrollment
  • 136 clinicians in this Medicare group
Emergency Medicine
301 W EXPY 83
Mcallen, TX 78503
  • Reassigned Medicare billing, Texas enrollment
  • 170 clinicians in this Medicare group
Emergency Medicine
3700 WEST NOLANA AVENUE
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
Critical Access
207 N TOWNLINE RD
Lagrange, IN 46761
  • Reassigned Medicare billing, Indiana enrollment
  • 93 clinicians in this Medicare group

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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Francesca Rios's NPI number?

The NPI number for Francesca Rios is 1700462678. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Francesca Rios located?

Francesca Rios practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Francesca Rios's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Francesca Rios enrolled in Medicare?

Yes. Francesca Rios 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 Francesca Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francesca Rios reassigns Medicare benefits to 9 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Professional Emergency Physicians PC (Fort Wayne, IN), Canyon Springs Emergency Medicine Associates, PA (Alamo, TX), Municipal Emergency Medicine Associates, PA (Edinburg, TX), Edinburg Emergency Medicine Associates PA (Edinburg, TX) and 4 more organizations, listed in the Medicare section above. 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 Francesca Rios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francesca Rios accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, CareSource, Oscar Health and Oscar Insurance Company list Francesca Rios 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 Francesca Rios affiliated with any hospitals?

According to CMS data, Francesca Rios is affiliated with Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Noble Hospital and South Texas Health System.

When was this NPI record last updated?

The NPPES record for Francesca Rios was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.