JOSE G NIETO M.D.
NPI 1811950132
Internal Medicine - Nephrology in Miami, FL

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
86/100
CMS Quality Rating
16501 NW 2ND AVE, MIAMI, FL 33169(305) 354-4558(305) 354-3884 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose G Nieto M.d. NPPES

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

JOSE G NIETO M.D. (NPI 1811950132) is an individual nephrology provider in Miami, Florida, licensed in Florida (57329) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1811950132
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSE G NIETOCredential: M.D.
Location Address16501 NW 2ND AVEMiami, FL 33169-6005
Mailing Address16501 Nw 2nd AveMiami, FL 33169-6005 · (305) 354-4558
Fax(305) 354-3884
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 8, 2006
Last NPPES UpdateMarch 21, 2019
NPI 1811950132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in FL · 57329 Licensed in FL · MR57329
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 ListedSpecialistTaxonomy 174400000X · License ME57329 (FL)
16501 NW 2ND AVE, Miami, FL 33169

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

Jose G Nieto 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 ID6709953102
PECOS Enrollment IDI20080927000046
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 8

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 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.
1,281 services146 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.
475 services106 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
96 services87 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
95 services12 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
71 services16 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.
45 services29 patients

Hospital Affiliations CMS Care Compare 3

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

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

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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.

86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality58.54
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%129 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%57 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
19%57 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
28%293 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
42%332 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%180 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
64%180 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%1,651 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%381 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%519 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%506 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%215 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 365 patients
93%365 patients
Provide Patients Electronic Access to Their Health Information
64%407 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%256 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 389 patients
Patients totalRate: 1% · 389 patients
1%389 patients4/55-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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Nephrology)
16501 NW 2ND AVE
MIAMI, FL 33169
Internal Medicine (Nephrology)
16501 NW 2ND AVE
MIAMI, FL 33169
Nurse Practitioner
16501 NW 2ND AVE
MIAMI, FL 33169
Internal Medicine (Nephrology)
16501 NW 2ND AVE
MIAMI, FL 33169
Internal Medicine (Nephrology)
16501 NW 2ND AVE
MIAMI, FL 33169

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 Jose Nieto's NPI number?

The NPI number for Jose Nieto is 1811950132. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Jose Nieto located?

Jose Nieto practices at 16501 NW 2nd Ave, Miami, FL 33169. The listed phone number is (305) 354-4558.

What is Jose Nieto's specialty?

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

Is Jose Nieto enrolled in Medicare?

Yes. Jose Nieto 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 Jose Nieto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Jose Nieto 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 Jose Nieto affiliated with any hospitals?

According to CMS data, Jose Nieto is affiliated with Jackson Health System, Mount Sinai Medical Center Of Florida, Inc and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Jose Nieto was last updated on March 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.