CLAUDIA TEJERA QUESADA MD
NPI 1922635994
Internal Medicine in Miami, FL

Q: What is Claudia Tejera Quesada's NPI number?

The NPI number for Claudia Tejera Quesada is 1922635994. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Claudia Tejera Quesada's specialty?

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

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

1611 NW 12TH AVE, MIAMI, FL 33136(561) 548-1273 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 7, 2023, Mar 26, 2020 (2 updates tracked since 2020).

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About Claudia Tejera Quesada Md NPPES

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

CLAUDIA TEJERA QUESADA MD (NPI 1922635994) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME160576) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922635994

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCLAUDIA TEJERA QUESADACredential: MD

Location Address1611 NW 12TH AVEMiami, FL 33136-1005

Mailing Address1611 Nw 12th AveMiami, FL 33136-1005

Phone(561) 548-1273

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 26, 2020

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1922635994 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 · ME160576

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.

1611 NW 12TH AVE, Miami, FL 33136

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Secondary Practice Location 1

Location 11400 NW 12th Ave Ste 645Miami, FL 33136-1003 · Phone (305) 689-1375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Maintenance Organization of Florida.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

Claudia Tejera Quesada 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 ID840612784

PECOS Enrollment IDI20251110001002

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.

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.

157 services89 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.

47 services47 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.

29 services29 patients

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.

25 services25 patients

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

$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.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.5

Promoting Interoperability

100

Improvement Activities

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. AKUA GYANEWAH ASARE MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-8264

MARILUZ SANCHEZ PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136

Miami-Dade County (305) 585-7309

DR. TASHA JOYTI N. D. COOKE TASHA COOKE

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-3670

DR. JUANITA ANN MARIE HUNTER M.D.

Pediatrics (Pediatric Cardiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6042

WANDA LAVERNE MCGOWAN-BRAYNEN ARNP

Nurse Practitioner (Adult Health)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. PERTTI KALEVI HAKALA M.D.

Anesthesiology

1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

JAYLOU M VELEZ TORRES M.D.

Pathology (Anatomic Pathology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-8381

ANNE-ISABELLE SOPHIA REME MD

Surgery

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1280

ELIE SAMIR ALAM MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

CHRISTOPHER D NAVARRO MD

Anesthesiology

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

RENZO ALDERETE APRN

Nurse Practitioner

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

AAZIM SYED ARIF MD

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-1111

DR. VICTOR M. LU MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 243-6751

DR. MIRIAM MARTI MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 342-1919

ALVARO ALFONSO SOTO RINCON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (786) 769-0052

LANIEL ROMEUS JR.

Radiology (Diagnostic Radiology)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-7000

CAMILLE-KAE TORRE DNP, APRN, NNP-BC

Nurse Practitioner (Neonatal)

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

NICOLE FARES MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-6970

VERONICA NUNEZ

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

MARGO STAPLETON MD

Student in an Organized Health Care Education/Training Program

1611 NW 12TH AVE
MIAMI, FL 33136

Miami-Dade County (305) 355-1350

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 Claudia Tejera Quesada's NPI number?

The NPI number for Claudia Tejera Quesada is 1922635994. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Claudia Tejera Quesada located?

Claudia Tejera Quesada practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (561) 548-1273.

What is Claudia Tejera Quesada's specialty?

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

Is Claudia Tejera Quesada enrolled in Medicare?

Yes. Claudia Tejera Quesada 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 Claudia Tejera Quesada accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Health Maintenance Organization of Florida list Claudia Tejera Quesada 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 Claudia Tejera Quesada was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.