1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Internal Medicine
  6. NPI Profile

RENE RICO TRESGALLO M.D.
NPI 1750646337
Internal Medicine - Critical Care Medicine in Miami, FL

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1321 NW 14TH ST, MIAMI, FL 33125(305) 243-6388(305) 243-6372 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rene Rico Tresgallo M.d. NPPES

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

RENE RICO TRESGALLO M.D. (NPI 1750646337) is an individual critical care medicine provider in Miami, Florida, licensed in Florida (ME141782) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750646337
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRENE RICO TRESGALLOCredential: M.D.
Location Address1321 NW 14TH STMiami, FL 33125-1673
Mailing Address601 Ne, 23rd St, Apt 806Miami, FL 33137-4940 · (786) 899-7698
Phone(305) 243-6388
Fax(305) 243-6372
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 10, 2012
Last NPPES UpdateAugust 30, 2019
✔ NPI 1750646337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME141782
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1321 NW 14TH ST, Miami, FL 33125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Rene Rico Tresgallo 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 ID6204163314
PECOS Enrollment IDI20190813001326
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
178 services74 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.
144 services72 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.
52 services36 patients
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.
13 services13 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 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.

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.

DAGMAR LEMUS MD PA
Internal Medicine
1321 NW 14TH ST, SUITE 303
MIAMI, FL 33125
Miami-Dade County (305) 548-4005
ONCOLOGY AND RADIATION ASSOCIATES, PA
Internal Medicine (Hematology & Oncology)
1321 NW 14TH ST, STE 601
MIAMI, FL 33125
Miami-Dade County (305) 325-1700
ESPAILLAT MEDICAL SERVICES LLC
Ophthalmology
1321 NW 14TH ST, SUITE 603
MIAMI, FL 33125
Miami-Dade County (305) 545-9393
MARCOS M CHERTMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1321 NW 14TH ST, SUITE 304
MIAMI, FL 33125
Miami-Dade County (305) 324-5481
DR. HEMAL J. PAREKH M.D.
Internal Medicine (Critical Care Medicine)
1321 NW 14TH ST
MIAMI, FL 33125
Miami-Dade County (305) 689-7240
DR. THOMAS GERARD ZWICK D.P.M.
Podiatrist (Foot & Ankle Surgery)
1321 NW 14TH ST, SUITE 103
MIAMI, FL 33125
Miami-Dade County (305) 326-3338
DR. JENNA ANNE RALPH AU.D.
Audiologist
1321 NW 14TH ST, SUITE 204
MIAMI, FL 33125
Miami-Dade County (305) 325-0090
LAI-YUAN LIU MD
Internal Medicine (Geriatric Medicine)
1321 NW 14TH ST, SUITE 602
MIAMI, FL 33125
Miami-Dade County (305) 545-5353

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 Rene Rico Tresgallo's NPI number?

The NPI number for Rene Rico Tresgallo is 1750646337. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Rene Rico Tresgallo located?

Rene Rico Tresgallo practices at 1321 NW 14th St, Miami, FL 33125. The listed phone number is (305) 243-6388.

What is Rene Rico Tresgallo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rene Rico Tresgallo enrolled in Medicare?

Yes. Rene Rico Tresgallo 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 Rene Rico Tresgallo accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Rene Rico Tresgallo 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 Rene Rico Tresgallo affiliated with any hospitals?

According to CMS data, Rene Rico Tresgallo is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Rene Rico Tresgallo was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.