BEN JOHNS VADASSERIL MD
NPI 1851814750
Internal Medicine in Miami Beach, FL

Active since July 23, 2017PECOS EnrolledAccepts Medicare Assignment
91.79/100
CMS Quality Rating
4300 ALTON RD, MIAMI BEACH, FL 33140(786) 427-4487 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 11, 2020, Jul 23, 2017 (2 updates tracked since 2017).

About Ben Johns Vadasseril Md NPPES

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

BEN JOHNS VADASSERIL MD (NPI 1851814750) is an individual internal medicine provider in Miami Beach, Florida, licensed in Florida (ME143447) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851814750
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBEN JOHNS VADASSERILCredential: MD
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address4300 Alton RdMiami Beach, FL 33140-2948
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 23, 2017
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1851814750 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 · ME143447
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.
4300 ALTON RD, Miami Beach, FL 33140

Accepted 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

Ben Johns Vadasseril 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 ID547686644
PECOS Enrollment IDI20200820000223
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

2

Medicare enrollment records show Ben Johns Vadasseril reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
4300 ALTON RD
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
Hospitalist
3501 JOHNSON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 413 clinicians in this Medicare group

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.
308 services122 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.
187 services78 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.
138 services137 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.
28 services28 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.
28 services20 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 33140 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.

91.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.77
Improvement Activities40
Cost98.4

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$47.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$68.35 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$8.48 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.

Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140

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 Ben Johns Vadasseril's NPI number?

The NPI number for Ben Johns Vadasseril is 1851814750. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Ben Johns Vadasseril located?

Ben Johns Vadasseril practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (786) 427-4487.

What is Ben Johns Vadasseril's specialty?

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

Is Ben Johns Vadasseril enrolled in Medicare?

Yes. Ben Johns Vadasseril 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 Ben Johns Vadasseril's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ben Johns Vadasseril reassigns Medicare benefits to 2 organizations: Collins Physician Services, LLC (Miami Beach, FL) and Eastside Hospitalists Inc (Hollywood, 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 Ben Johns Vadasseril's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ben Johns Vadasseril accept?

Health plans from 22 Health, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ben Johns Vadasseril 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 Ben Johns Vadasseril affiliated with any hospitals?

According to CMS data, Ben Johns Vadasseril is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Ben Johns Vadasseril was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.