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ORESTES G ROSABAL M.D.
NPI 1942203237
Orthopaedic Surgery - Sports Medicine in Hialeah, FL

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
7100 W 20TH AVE, STE 101, HIALEAH, FL 33016(305) 822-0401(305) 824-1748 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Orestes G Rosabal M.d. NPPES

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

ORESTES G ROSABAL M.D. (NPI 1942203237) is an individual sports medicine provider in Hialeah, Florida, licensed in Florida (ME0038252) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1942203237
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameORESTES G ROSABALCredential: M.D.
Location Address7100 W 20TH AVE, STE 101Hialeah, FL 33016-1897
Mailing Address7100 W 20th Ave, Ste 101Hialeah, FL 33016-1897 · (305) 822-0401 · Fax (305) 824-1748
Phone(305) 822-0401
Fax(305) 824-1748
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942203237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in FL · ME0038252
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
7100 W 20TH AVE, Hialeah, FL 33016
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Other Identifiers 8

Other2000978FL · Aetna Ppo
Medicare UPIND63590FL
Other2332362FL · Aetna Hmo
Other95741FL · Bcbs
Other0724570004FL · Cigna
Other205083FL · Avmed
Other026533FL · Neighborhood Health
Medicare ID-Type Unspecified95741ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, 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

Orestes G Rosabal 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 ID2264501907
PECOS Enrollment IDI20100414000183
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 Reassignment

Medicare enrollment records show Orestes Rosabal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Specialists Of S Florida P A
Same address
Orthopaedic Surgery
7100 W 20TH AVE, SUITE 101
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1841289576 (305) 822-0401

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 3

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.

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.
22 services16 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.
15 services15 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.
12 services12 patients

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.

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…
40%886 patients2/55-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.
7%3,585 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
18%3,203 patients1/55-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
23%885 patients1/55-star benchmark: 95%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims7,250 services$19.78 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6238
DME-Medical/Surgical Supplies · category DA023N
1 supplier28 claims840 services$16.61 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier30 claims30 services$714.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RENE GUERRA MD PL
Internal Medicine
7100 W 20TH AVE, SUITE G166
HIALEAH, FL 33016
Miami-Dade County (786) 399-9742
STEVEN FIELDS MD PA
Internal Medicine
7100 W 20TH AVE, SUITE 311
HIALEAH, FL 33016
Miami-Dade County (305) 823-2886
INA WINDERMAN R.P.T.
Physical Therapist
7100 W 20TH AVE, SUITE 101
HIALEAH, FL 33016
Miami-Dade County (305) 822-0401
DR. ISRAEL JONATHAN TCHABAN M.D., S.A.
Physician Assistant (Surgical)
7100 W 20TH AVE
HIALEAH, FL 33016
Miami-Dade County (305) 823-9120
HERNANDO ALVAREZ MD PA
General Acute Care Hospital
7100 W 20TH AVE, SUITE 803
HIALEAH, FL 33016
Miami-Dade County (305) 556-3122
ADVANCED GASTROENTEROLOGY OF SOUTH FLORIDA, P.A.
Internal Medicine (Gastroenterology)
7100 W 20TH AVE, SUITE 301
HIALEAH, FL 33016
Miami-Dade County (305) 556-3727
DR. JOSE F FONT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7100 W 20TH AVE, STE 806
HIALEAH, FL 33016
Miami-Dade County (305) 557-3212
DR. LUIS RAIMUNDO PAGAN MD
Neurological Surgery
7100 W 20TH AVE, SUITE G-176
HIALEAH, FL 33016
Miami-Dade County (305) 826-3366

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 Orestes Rosabal's NPI number?

The NPI number for Orestes Rosabal is 1942203237. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Orestes Rosabal located?

Orestes Rosabal practices at 7100 W 20th Ave Ste 101, Hialeah, FL 33016. The listed phone number is (305) 822-0401.

What is Orestes Rosabal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Orestes Rosabal enrolled in Medicare?

Yes. Orestes Rosabal 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 organization bills Medicare for Orestes Rosabal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Orestes Rosabal reassigns Medicare benefits to Orthopedic Specialists Of S Florida P A (Hialeah, FL). The 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 Orestes Rosabal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Orestes Rosabal accept?

Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Orestes Rosabal 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 Orestes Rosabal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.