LUIS FELIPE VERDECIA SR. MD
NPI 1881630382
General Practice in Hialeah, FL

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
5375 W 20TH AVE, HIALEAH, FL 33012(305) 204-0333(305) 359-7546 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Jul 8, 2025 (2 updates tracked since 2025).

About Luis Felipe Verdecia Sr. Md NPPES

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

LUIS FELIPE VERDECIA SR. MD (NPI 1881630382) is an individual general practice provider in Hialeah, Florida, licensed in Florida (ME81400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1881630382
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLUIS FELIPE VERDECIA SR.Credential: MD
Location Address5375 W 20TH AVEHialeah, FL 33012-2101
Mailing Address860 Nw 42nd Ave Fl 5Miami, FL 33126-4172 · (305) 204-0333
Fax(305) 359-7546
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1881630382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME81400
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5375 W 20TH AVE, Hialeah, FL 33012

Other Identifiers 1

Medicaid260500700FL

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

Luis Felipe Verdecia Sr. 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 ID6800707829
PECOS Enrollment IDI20040310000683
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.
94 services29 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.
31 services17 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.
18 services12 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.
13 services13 patients

Other Providers at the Same Location NPPES 3

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

General Practice
5375 W 20TH AVE
HIALEAH, FL 33012
Physician Assistant
5375 W 20TH AVE
HIALEAH, FL 33012
Nurse Practitioner (Gerontology)
5375 W 20TH AVE
HIALEAH, FL 33012

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 Luis Verdecia's NPI number?

The NPI number for Luis Verdecia is 1881630382. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Luis Verdecia located?

Luis Verdecia practices at 5375 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 204-0333.

What is Luis Verdecia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Luis Verdecia enrolled in Medicare?

Yes. Luis Verdecia 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 Luis Verdecia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Luis Verdecia 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.

When was this NPI record last updated?

The NPPES record for Luis Verdecia was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.