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DR. PAOLO RUSCONI MD
NPI 1891723102
Pediatrics - Pediatric Cardiology in Miami, FL

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1601 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 243-4029(305) 243-8470 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paolo Rusconi Md NPPES

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

DR. PAOLO RUSCONI MD (NPI 1891723102) is an individual pediatric cardiology provider in Miami, Florida, licensed in Florida (ME65195) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1891723102
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. PAOLO RUSCONICredential: MD
Location Address1601 NW 12TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address1601 Nw 12th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 243-4029 · Fax (305) 243-8470
Phone(305) 243-4029
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1891723102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in FL · ME65195
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1601 NW 12TH AVE, Miami, FL 33101
Open in Google Maps ↗

Other Identifiers 3

Medicaid2505291-00FL
Medicare UPIN32165FL
Medicare UPING36989FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Paolo Rusconi 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 ID3476740127
PECOS Enrollment IDI20101208000215
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 Reassignment

Medicare enrollment records show Paolo Rusconi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Pediatric Hematology-Oncology
1601 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1104877612 (305) 243-7688

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

Hospital Affiliations CMS Care Compare

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

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. WALTER F LAMBERT MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. YONG BAO MD
Pediatrics (Pediatric Endocrinology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
MS. MARIBETH VELASCO ARNP
Nurse Practitioner
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
ANDREW R COLIN MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. ANGELICA A FLOREN MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. FARIDA AHMED MD
Pediatrics
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
DR. CRISTINA LOPEZ HERNANDEZ PHD
Psychologist (Clinical Child & Adolescent)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 243-4029
JAYANTHI J CHANDAR MD
Pediatrics (Pediatric Nephrology)
1601 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 585-6726

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 Paolo Rusconi's NPI number?

The NPI number for Paolo Rusconi is 1891723102. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Paolo Rusconi located?

Paolo Rusconi practices at 1601 NW 12th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 243-4029.

What is Paolo Rusconi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Paolo Rusconi enrolled in Medicare?

Yes. Paolo Rusconi 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 organization bills Medicare for Paolo Rusconi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paolo Rusconi reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Paolo Rusconi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paolo Rusconi accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Paolo Rusconi 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 Paolo Rusconi affiliated with any hospitals?

According to CMS data, Paolo Rusconi is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Paolo Rusconi was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.