TEOFILO ENRIQUE MATOS SANTANA M.D
NPI 1932497955
Psychiatry & Neurology - Psychiatry in Hialeah, FL
About Teofilo Enrique Matos Santana M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEOFILO ENRIQUE MATOS SANTANA M.D (NPI 1932497955) is an individual psychiatry provider in Hialeah, Florida, licensed in Florida (ME161306) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Teofilo Enrique Matos Santana 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HIALEAH, FL 33012
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 Teofilo Matos Santana's NPI number?
The NPI number for Teofilo Matos Santana is 1932497955. It was assigned to this individual provider in the NPPES registry on July 11, 2011.
Where is Teofilo Matos Santana located?
Teofilo Matos Santana practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 424-3118.
What is Teofilo Matos Santana's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Teofilo Matos Santana enrolled in Medicare?
Yes. Teofilo Matos Santana 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 Teofilo Matos Santana accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Teofilo Matos Santana 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 Teofilo Matos Santana was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.