DR. MARIO ALBERTO GALDAMES M.D.
NPI 1831391259
Family Medicine - Geriatric Medicine in Sunrise, FL

Q: What is Mario Galdames's NPI number?

The NPI number for Mario Galdames is 1831391259. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is Mario Galdames's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Mario Galdames was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 05, 2007PECOS EnrolledAccepts Medicare Assignment

4.77/100

CMS Quality Rating

4399 N NOB HILL RD, SUNRISE, FL 33351(954) 799-6900 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Feb 1, 2023 (2 updates tracked since 2023).

On this page

About Dr. Mario Alberto Galdames M.d. NPPES

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

DR. MARIO ALBERTO GALDAMES M.D. (NPI 1831391259) is an individual geriatric medicine provider in Sunrise, Florida, licensed in Florida (ME102537) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Westside Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1831391259

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. MARIO ALBERTO GALDAMESCredential: M.D.

Location Address4399 N NOB HILL RDSunrise, FL 33351-5813

Mailing AddressPo Box 970659Coconut Creek, FL 33097-1201 · (954) 799-6900

Phone(954) 799-6900

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateJune 5, 2007

Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1831391259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in FL · ME102537

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

4399 N NOB HILL RD, Sunrise, FL 33351

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Other Identifiers 2

Medicaid000580100FL

Other90079FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Mario Alberto Galdames 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 ID7810056223

PECOS Enrollment IDI20081029000933

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 Mario Galdames reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult & Geriatric Center Of South Florida, LLC

Same address

Geriatric Medicine

4399 N NOB HILL RD
Sunrise, FL 33351

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

NPI 1558618488 (954) 799-6900

Adult And Geriatric Primary Care Physicians LLC

Same address

Family Medicine

4399 N NOB HILL RD
Sunrise, FL 33351

Reassigned Medicare billing, Florida enrollment

NPI 1518791979 (954) 799-6900

Seasons Medical Group Of Florida PA

25 mi

Internal Medicine

5200 NE 2ND AVE, FL 3
Miami, FL 33137

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

NPI 1710238381 (877) 731-9299

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 15

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.

1,318 services372 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.

906 services343 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.

324 services127 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

295 services184 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.

219 services210 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.

150 services86 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

64 services50 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.

63 services59 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.

49 services39 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.

42 services42 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

25 services21 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

24 services23 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.

23 services23 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

23 services22 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

20 services20 patients

Hospital Affiliations CMS Care Compare

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

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33351 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

4.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

15.91

Referred Medical Equipment & Supplies CMS DME claims 12

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers30 claims1,245 services$5.10 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

3 suppliers19 claims9,352 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

4 suppliers15 claims9,670 services$0.26 avg. paid by Medicare

Walker, with trunk support, adjustable or fixed height, any type E0140

DME-Other DME · category DE000N

1 supplier22 claims22 services$16.72 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$48.01 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

2 suppliers21 claims21 services$47.24 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 20

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

MS. LENETTE BLANCO ARNP

Nurse Practitioner (Family)

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 799-6900

KARLA SANTIS DPT

Physical Therapist

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 749-0300

ENCOMPASS HEALTH REHABILITATION HOSPITAL OF SUNRISE, LLC

Rehabilitation Hospital

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 749-0300

DR. LAUREN L LERNER MD

Specialist

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 746-1505

MR. YAMEL RODRIGUEZ ARNP

Nurse Practitioner (Family)

4399 N NOB HILL RD
SUNRISE, FL, FL 33351

Broward County (954) 799-6900

MISS CARYN L HAYWOOD MS, RDN, LDN

Dietitian, Registered

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 749-0300

REINALDO A. CAMARGO MD

Internal Medicine (Geriatric Medicine)

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (954) 799-6900

RAUL CARDENAS, M.D. P.A.

Physical Medicine & Rehabilitation

4399 N NOB HILL RD
SUNRISE, FL 33351

Broward County (305) 630-9244

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 Mario Galdames's NPI number?

The NPI number for Mario Galdames is 1831391259. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Mario Galdames located?

Mario Galdames practices at 4399 N Nob Hill Rd, Sunrise, FL 33351. The listed phone number is (954) 799-6900.

What is Mario Galdames's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Mario Galdames enrolled in Medicare?

Yes. Mario Galdames 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.

Which organizations bill Medicare for Mario Galdames's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Galdames reassigns Medicare benefits to 3 organizations: Adult & Geriatric Center Of South Florida, LLC (Sunrise, FL), Adult And Geriatric Primary Care Physicians LLC (Sunrise, FL) and Seasons Medical Group Of Florida PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mario Galdames's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Galdames accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Mario Galdames 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 Mario Galdames affiliated with any hospitals?

According to CMS data, Mario Galdames is affiliated with Westside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mario Galdames was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.