CARMEN TUDELA
NPI 1891997904
Obstetrics & Gynecology - Maternal & Fetal Medicine in Miami, FL

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1801 NW 9TH AVE, SUITE 201, MIAMI, FL 33136(786) 466-8444 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2017, Feb 6, 2017 (2 updates tracked since 2017).

About Carmen Tudela NPPES

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

CARMEN TUDELA (NPI 1891997904) is an individual maternal & fetal medicine provider in Miami, Florida, licensed in Florida (ME107600) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Ponce School Of Medicine (2006).

NPPES Registry Identity

NPI1891997904
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameCARMEN TUDELA
Location Address1801 NW 9TH AVE, SUITE 201Miami, FL 33136-1101
Mailing Address7300 Sw 117th TerMiami, FL 33156-4668 · (305) 321-6242 · Fax (214) 645-3839
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2006
Enumeration DateJune 1, 2007
Last NPPES UpdateApril 11, 20172 updates tracked since enumeration
NPI 1891997904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in FL · ME107600
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License N6730 (TX)
1801 NW 9TH AVE, Miami, FL 33136

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

Carmen Tudela 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 ID1355466954
PECOS Enrollment IDI20131031000818
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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
15 services15 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
13 services13 patients

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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.

Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Acute Care)
1801 NW 9TH AVE
MIAMI, FL 33136
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1801 NW 9TH AVE
MIAMI, FL 33136
Internal Medicine (Nephrology)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1801 NW 9TH AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1801 NW 9TH AVE
MIAMI, FL 33136
Internal Medicine (Nephrology)
1801 NW 9TH AVE
MIAMI, FL 33136

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 Carmen Tudela's NPI number?

The NPI number for Carmen Tudela is 1891997904. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Carmen Tudela located?

Carmen Tudela practices at 1801 NW 9th Ave Suite 201, Miami, FL 33136. The listed phone number is (786) 466-8444.

What is Carmen Tudela's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Carmen Tudela enrolled in Medicare?

Yes. Carmen Tudela 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 Carmen Tudela accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Carmen Tudela 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 Carmen Tudela affiliated with any hospitals?

According to CMS data, Carmen Tudela is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Carmen Tudela was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.