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KAREN MICHELLE FERNANDEZ ESPINAL M.D.
NPI 1932474376
Internal Medicine - Rheumatology in Miami, FL

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment
3659 S MIAMI AVE, SUITE 3005, MIAMI, FL 33133(305) 860-6260 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2017, Mar 28, 2017 (2 updates tracked since 2017).

About Karen Michelle Fernandez Espinal M.d. NPPES

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

KAREN MICHELLE FERNANDEZ ESPINAL M.D. (NPI 1932474376) is an individual rheumatology provider in Miami, Florida, licensed in Florida (ME132056) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2012).

NPPES Registry Identity

NPI1932474376
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameKAREN MICHELLE FERNANDEZ ESPINALCredential: M.D.
Location Address3659 S MIAMI AVE, SUITE 3005Miami, FL 33133-4227
Mailing Address3659 S Miami Ave, Ste 3005Miami, FL 33133-4225 · (305) 243-6884
Phone(305) 860-6260
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2012
Enumeration DateMarch 19, 2012
Last NPPES UpdateApril 20, 20172 updates tracked since enumeration
✔ NPI 1932474376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME132056
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3659 S MIAMI AVE, Miami, FL 33133
Open in Google Maps ↗

Other Names 1

Former Name (1)Karen Michelle Fernandez Md

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Michelle Fernandez Espinal M.d. 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 ID9032484076
PECOS Enrollment IDI20171002001633
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 5

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,140 services13 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.
91 services51 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.
27 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
22 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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.

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.

MADAI MARTINEZ
Nurse Practitioner (Acute Care)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (786) 804-5585
DR. MYRON MAYER PERSOFF MD
Plastic Surgery
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (305) 858-5255
EDUARDO M MARTINEZ, MD, PA
Surgery (Vascular Surgery)
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (786) 483-8438
GALIMIDI DPM PA
Podiatrist (Foot & Ankle Surgery)
3659 S MIAMI AVE, 3008
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
DR. RAUL MOAS M.D.
Internal Medicine (Pulmonary Disease)
3659 S MIAMI AVE, SUITE 5004
MIAMI, FL 33133
Miami-Dade County (305) 854-0616
JAMES M LOSITO DPM
Podiatrist (Sports Medicine)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
MARITZA MIREYA CARDENA ALENCAR NP
Nurse Practitioner (Adult Health)
3659 S MIAMI AVE, STE 2001
MIAMI, FL 33133
Miami-Dade County (305) 854-8800
MIGUEL ARCANGEL ALBERT MD
Obstetrics & Gynecology
3659 S MIAMI AVE, #6001
MIAMI, FL 33133
Miami-Dade County (305) 856-2828

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 Karen Fernandez Espinal's NPI number?

The NPI number for Karen Fernandez Espinal is 1932474376. It was assigned to this individual provider in the NPPES registry on March 19, 2012. The provider is also known as Karen Michelle Fernandez MD.

Where is Karen Fernandez Espinal located?

Karen Fernandez Espinal practices at 3659 S Miami Ave Suite 3005, Miami, FL 33133. The listed phone number is (305) 860-6260.

What is Karen Fernandez Espinal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Karen Fernandez Espinal enrolled in Medicare?

Yes. Karen Fernandez Espinal 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 Karen Fernandez Espinal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Karen Fernandez Espinal 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 Karen Fernandez Espinal was last updated on April 20, 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.