DOLORES PRUDENT MD
NPI 1760844997
Internal Medicine in North Miami Beach, FL

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1684 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179(305) 919-1970 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2019, Mar 26, 2016 (2 updates tracked since 2016).

About Dolores Prudent Md NPPES

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

DOLORES PRUDENT MD (NPI 1760844997) is an individual internal medicine provider in North Miami Beach, Florida, licensed in Florida (ME142057) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of George Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1760844997
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDOLORES PRUDENTCredential: MD
Location Address1684 NE MIAMI GARDENS DRNorth Miami Beach, FL 33179-4900
Mailing Address1684 Ne Miami Gardens DrNorth Miami Beach, FL 33179-4900
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2016
Enumeration DateMarch 26, 2016
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
NPI 1760844997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME142057
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1684 NE MIAMI GARDENS DR, North Miami Beach, FL 33179

Accepted 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

Dolores Prudent 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 ID5294065090
PECOS Enrollment IDI20190920001717
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.

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.
67 services52 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
42 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Radiology (Vascular & Interventional Radiology)
1684 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179
Radiology (Vascular & Interventional Radiology)
1684 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179
Physician Assistant
1684 NE MIAMI GARDENS DR
MIAMI, FL 33179
Family Medicine
1684 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179

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 Dolores Prudent's NPI number?

The NPI number for Dolores Prudent is 1760844997. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Dolores Prudent located?

Dolores Prudent practices at 1684 NE Miami Gardens Dr, North Miami Beach, FL 33179. The listed phone number is (305) 919-1970.

What is Dolores Prudent's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dolores Prudent enrolled in Medicare?

Yes. Dolores Prudent 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 Dolores Prudent accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Dolores Prudent 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 Dolores Prudent affiliated with any hospitals?

According to CMS data, Dolores Prudent is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Dolores Prudent was last updated on August 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.