CARLOS F SORZANO M.D.
NPI 1821220039
Family Medicine in Miami, FL

Q: What is Carlos Sorzano's NPI number?

The NPI number for Carlos Sorzano is 1821220039. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Q: What is Carlos Sorzano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Sorzano was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 20, 2009PECOS EnrolledAccepts Medicare Assignment

7135 SW 117TH AVE, MIAMI, FL 33183(305) 596-4105 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carlos F Sorzano M.d. NPPES

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

CARLOS F SORZANO M.D. (NPI 1821220039) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME111614) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Redmond Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821220039

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARLOS F SORZANOCredential: M.D.

Location Address7135 SW 117TH AVEMiami, FL 33183-2802

Mailing Address8400 Nw 33rd St, Suite 201Doral, FL 33122-1937 · (786) 408-8502

Phone(305) 596-4105

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 20, 2009

Last NPPES UpdateSeptember 28, 2016

✔ NPI 1821220039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME111614

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN13821 (FL)

7135 SW 117TH AVE, Miami, FL 33183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos F Sorzano 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 ID749430874

PECOS Enrollment IDI20230919002804, I20250319001321, I20260304003516

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.

Medicare Billing Reassignments

Medicare enrollment records show Carlos Sorzano reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jde Medical P.A

7.8 mi

Internal Medicine

8600 NW 36TH ST STE 501
Doral, FL 33166

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1548058266 (786) 999-3507

Inpatient Consultants Of Florida Inc

207 mi

Hospitalist

3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618

Reassigned Medicare billing, Florida enrollment
903 clinicians in this Medicare group

NPI 1457511164 (813) 936-5000

Hospital Physician Services Of Florida PA

533 mi

Hospitalist

8383 N DAVIS HWY
Pensacola, FL 32514

Reassigned Medicare billing, Florida enrollment
601 clinicians in this Medicare group

NPI 1558718635 (850) 494-4000

Hospital Physician Services - Southeast Professional Corporation

593 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, Georgia enrollment
777 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Southeastern Physician Services PC

747 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Kentucky and Tennessee enrollments
358 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

Hospital Medicine Services Of Tennessee PC

960 mi

Hospitalist

600 WILSON CREEK RD
Lawrenceburg, IN 47025

Reassigned Medicare billing, Tennessee enrollment
394 clinicians in this Medicare group

NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

491 services221 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

206 services190 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.

171 services160 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.

142 services79 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%126 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 16

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

DR. MAUREEN NKIRU JAMES DNP, APRN, FNP-BC

Nurse Practitioner (Family)