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RODOLFO GUTIERREZ-ALSINA MD
NPI 1922025014
Internal Medicine - Nephrology in Hialeah, FL

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
81.18/100
CMS Quality Rating
2387 W 68TH ST STE 401, HIALEAH, FL 33016(305) 325-8589(305) 325-8587 Get Directions Write a Review

NPPES record last updated: January 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rodolfo Gutierrez-alsina Md NPPES

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

RODOLFO GUTIERREZ-ALSINA MD (NPI 1922025014) is an individual nephrology provider in Hialeah, Florida, licensed in Florida (ME51217) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Steward Hialeah Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1922025014
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRODOLFO GUTIERREZ-ALSINACredential: MD
Location Address2387 W 68TH ST STE 401Hialeah, FL 33016-6890
Mailing Address2387 W 68th St Ste 401Hialeah, FL 33016-6890 · (305) 325-8589 · Fax (305) 325-8587
Phone(305) 325-8589
Fax(305) 325-8587
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 4, 2018
✔ NPI 1922025014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME51217
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME51217 (FL)
2387 W 68TH ST STE 401, Hialeah, FL 33016
Open in Google Maps ↗

Other Identifiers 4

Medicaid053343200FL
Other11241ZFL · Medicare Ptan
OtherP00129656FL · Railroad Medicare
Other11241FL · 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

Rodolfo Gutierrez-alsina 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 ID5294714994
PECOS Enrollment IDI20041116001031
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 Rodolfo Gutierrez-alsina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rodolfo Gutierrez-Alsina MD PA
Same address
Nephrology
2387 W 68TH ST STE 401
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1770500860 (305) 325-8587
Victor Lopez De Mendoza, MD PLLC
9.8 mi
Nephrology
1321 NW 14TH ST, STE 603
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 24 clinicians in this Medicare group
NPI 1558660167 (305) 547-1444

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 6

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 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.
489 services111 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
216 services39 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
192 services37 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.
168 services83 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.
161 services129 patients
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.
57 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Steward Hialeah Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100053
Location651 E 25th StHialeah, FL 33013 · Miami-Dade County
Emergency services

Steward Palmetto General Hospital

Acute Care Hospitals · Hialeah, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100187
Location2001 W 68th StHialeah, FL 33016 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

81.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality33.33
Improvement Activities40
Cost92.83

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%85 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%150 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%85 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
77%48 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

JACQUELINE FREIRE ARNP
Nurse Practitioner
2387 W 68TH ST STE 401
HIALEAH, FL 33016
Miami-Dade County (305) 325-8588
RODOLFO GUTIERREZ-ALSINA MD PA
Internal Medicine (Nephrology)
2387 W 68TH ST STE 401
HIALEAH, FL 33016
Miami-Dade County (305) 325-8587

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 Rodolfo Gutierrez-alsina's NPI number?

The NPI number for Rodolfo Gutierrez-alsina is 1922025014. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Rodolfo Gutierrez-alsina located?

Rodolfo Gutierrez-alsina practices at 2387 W 68th St Ste 401, Hialeah, FL 33016. The listed phone number is (305) 325-8589.

What is Rodolfo Gutierrez-alsina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rodolfo Gutierrez-alsina enrolled in Medicare?

Yes. Rodolfo Gutierrez-alsina 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 Rodolfo Gutierrez-alsina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Gutierrez-alsina reassigns Medicare benefits to 2 organizations: Rodolfo Gutierrez-Alsina MD PA (Hialeah, FL) and Victor Lopez De Mendoza, MD PLLC (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 Rodolfo Gutierrez-alsina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodolfo Gutierrez-alsina accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Rodolfo Gutierrez-alsina 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 Rodolfo Gutierrez-alsina affiliated with any hospitals?

According to CMS data, Rodolfo Gutierrez-alsina is affiliated with Steward Hialeah Hospital and Steward Palmetto General Hospital.

When was this NPI record last updated?

The NPPES record for Rodolfo Gutierrez-alsina was last updated on January 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.