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ANDRES EDUARDO CARMONA RUBIO M.D
NPI 1750722781
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cleveland, OH

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE # J3-4, CLEVELAND, OH 44195(216) 445-5843 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andres Eduardo Carmona Rubio M.d NPPES

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

ANDRES EDUARDO CARMONA RUBIO M.D (NPI 1750722781) is an individual advanced heart failure and transplant cardiology provider in Cleveland, Ohio, licensed in Ohio (35.140320) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1750722781
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameANDRES EDUARDO CARMONA RUBIOCredential: M.D
Location Address9500 EUCLID AVE # J3-4Cleveland, OH 44195-3021
Mailing Address9500 Euclid Ave # J3-4Cleveland, OH 44195-0002 · (216) 445-5843
Phone(216) 445-5843
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 5, 2013
Last NPPES UpdateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1750722781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in OH · 35.140320
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9500 EUCLID AVE # J3-4, Cleveland, OH 44195
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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 Eduardo Carmona Rubio 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 ID5496020406
PECOS Enrollment IDI20200928002322
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 11

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.
158 services119 patients
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.
77 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services59 patients
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.
38 services19 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.
33 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
32 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Medina Hospital

Acute Care Hospitals · Medina, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360091
Location1000 East Washington StreetMedina, OH 44256 · Medina County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier65 claims178 services$34.68 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier65 claims1,602 services$1.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. CHONYANG LU ALBERT M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9500 EUCLID AVE # J3-4
CLEVELAND, OH 44195
Cuyahoga County (216) 444-4110
DR. SANJEEB SEAN BHATTACHARYA M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
9500 EUCLID AVE # J3-4
CLEVELAND, OH 44195
Cuyahoga County (216) 444-6723

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 Andres Carmona Rubio's NPI number?

The NPI number for Andres Carmona Rubio is 1750722781. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Andres Carmona Rubio located?

Andres Carmona Rubio practices at 9500 Euclid Ave # J3-4, Cleveland, OH 44195. The listed phone number is (216) 445-5843.

What is Andres Carmona Rubio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Andres Carmona Rubio enrolled in Medicare?

Yes. Andres Carmona Rubio 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 Andres Carmona Rubio accept?

Health plans from Oscar Insurance Corporation of Ohio list Andres Carmona Rubio 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 Andres Carmona Rubio affiliated with any hospitals?

According to CMS data, Andres Carmona Rubio is affiliated with Akron General Medical Center, Medina Hospital, South Pointe Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Andres Carmona Rubio was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.