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MARIE ANNE SOSA M.D.
NPI 1710193032
Internal Medicine - Nephrology in Miami, FL

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1120 NW 14TH ST, SUITE 809, MIAMI, FL 33136(305) 243-3583(305) 243-3506 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, Aug 23, 2016 (2 updates tracked since 2016).

About Marie Anne Sosa M.d. NPPES

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

MARIE ANNE SOSA M.D. (NPI 1710193032) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME128340) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1710193032
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMARIE ANNE SOSACredential: M.D.
Location Address1120 NW 14TH ST, SUITE 809Miami, FL 33136-2107
Mailing Address1120 Nw 14th St, Suite 809Miami, FL 33136-2107 · (305) 243-3583 · Fax (305) 243-3506
Phone(305) 243-3583
Fax(305) 243-3506
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1710193032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME128340
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME128340 (FL)
1120 NW 14TH ST, Miami, FL 33136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, 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

Marie Anne Sosa 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 ID6103979273
PECOS Enrollment IDI20161025000851
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 5

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 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.
164 services95 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.
78 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.
23 services22 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.
22 services19 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade 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
$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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. DANIEL MAASS M.D.
Psychiatry & Neurology (Psychiatry)
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 245-2301
SILVIA R DELGADO
Psychiatry & Neurology (Neurology)
1120 NW 14TH ST, SUITE 1323 13TH FLOOR
MIAMI, FL 33136
Miami-Dade County (305) 243-2279
NISARG SHAH DO
Orthopaedic Surgery
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-3229
BRADLEY J GOLDSTEIN MD PHD
Otolaryngology
1120 NW 14TH ST, 5TH FLOOR
MIAMI, FL 33136
Miami-Dade County (305) 243-3564
CHRISTINA HYO-JIN KANG CCC-SLP
Speech-Language Pathologist
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-3564
STEPHANIE DELGADO M.D.
Obstetrics & Gynecology
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-4365
GIULIANA ALTARE
Nurse Practitioner (Psychiatric/Mental Health)
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-0214
MARTHA ROSTRAN A.R.N.P.
Internal Medicine (Nephrology)
1120 NW 14TH ST
MIAMI, FL 33136
Miami-Dade County (305) 243-6251

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 Marie Sosa's NPI number?

The NPI number for Marie Sosa is 1710193032. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Marie Sosa located?

Marie Sosa practices at 1120 NW 14th St Suite 809, Miami, FL 33136. The listed phone number is (305) 243-3583.

What is Marie Sosa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Marie Sosa enrolled in Medicare?

Yes. Marie Sosa 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 Marie Sosa accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Marie Sosa 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 Marie Sosa affiliated with any hospitals?

According to CMS data, Marie Sosa is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Marie Sosa was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.