ERIKA CORREA M.D.
NPI 1720437346
Internal Medicine - Hematology & Oncology in Doral, FL

Q: What is Erika Correa's NPI number?

The NPI number for Erika Correa is 1720437346. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Q: What is Erika Correa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Erika Correa was last updated on October 16, 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.

Active since June 04, 2016PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

8333 NW 53RD ST FL 1, DORAL, FL 33166(305) 689-8375(305) 689-8632 Get Directions Write a Review

NPPES record last updated: October 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Erika Correa M.d. NPPES

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

ERIKA CORREA M.D. (NPI 1720437346) is an individual hematology & oncology provider in Doral, Florida, licensed in Florida (ME157745) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720437346

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameERIKA CORREACredential: M.D.

Location Address8333 NW 53RD ST FL 1Doral, FL 33166-4783

Mailing Address8333 Nw 53rd St Fl 1Doral, FL 33166-4783 · (305) 689-8375 · Fax (305) 689-8632

Phone(305) 689-8375

Fax(305) 689-8632

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 4, 2016

Last NPPES UpdateOctober 16, 2022

NPPES CertifiedOctober 16, 2022

✔ NPI 1720437346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME157745

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT211016 (PA)

8333 NW 53RD ST FL 1, Doral, FL 33166

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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

Erika Correa 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 ID4385981430

PECOS Enrollment IDI20221202000262

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 2

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 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.

110 services55 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33166 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

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

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%90 patients

Breast Cancer Screening

22%184 patients1/55-star benchmark: 93%

Cervical Cancer Screening

17%331 patients1/55-star benchmark: 98%

Colorectal Cancer Screening

25%411 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

60%144 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

30%81 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

53%81 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,593 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%147 patients5/55-star benchmark: 100%

HIV Screening

35%557 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

37%659 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

98%590 patients5/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%1,179 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 93% · 489 patients

Patients screened: 98% · 489 patients

39%41 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%361 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 7% · 166 patients

Patients totalRate: 16% · 166 patients

13%166 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Erika Correa's NPI number?

The NPI number for Erika Correa is 1720437346. It was assigned to this individual provider in the NPPES registry on June 4, 2016.

Where is Erika Correa located?

Erika Correa practices at 8333 NW 53rd St Fl 1, Doral, FL 33166. The listed phone number is (305) 689-8375.

What is Erika Correa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Erika Correa enrolled in Medicare?

Yes. Erika Correa 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 Erika Correa 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 Erika Correa 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.

When was this NPI record last updated?

The NPPES record for Erika Correa was last updated on October 16, 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.