JOSE M GAVIRIA M.D.
NPI 1942207204
Internal Medicine - Infectious Disease in Miami, FL

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
97.62/100
CMS Quality Rating
7800 SW 87TH AVE, # B260, MIAMI, FL 33173(305) 595-4590(305) 279-2278 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose M Gaviria M.d. NPPES

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

JOSE M GAVIRIA M.D. (NPI 1942207204) is an individual infectious disease provider in Miami, Florida, licensed in Florida (ME0069346) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of University Of Washington School Of Medicine (1999).

NPPES Registry Identity

NPI1942207204
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOSE M GAVIRIACredential: M.D.
Location Address7800 SW 87TH AVE, # B260Miami, FL 33173-3570
Mailing Address7800 Sw 87th Ave, B260Miami, FL 33173-3570 · (305) 595-4590 · Fax (305) 279-2278
Fax(305) 279-2278
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1999
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 4, 2007
NPI 1942207204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in FL · ME0069346
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
7800 SW 87TH AVE, Miami, FL 33173

Other Identifiers 2

Medicare UPING83443FL
Medicare PIN13011

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

Jose M Gaviria 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 ID7012047269
PECOS Enrollment IDI20100724000154
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 9

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 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.
762 services266 patients
Injection, ertapenem sodium, 500 mg J1335
Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.
306 services11 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
301 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
278 services252 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.
150 services69 patients
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.
74 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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.

97.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.52
Improvement Activities40
Cost79.38

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.

Physician Assistant
7800 SW 87TH AVE
MIAMI, FL 33173
Pediatrics
7800 SW 87TH AVE, C-350
MIAMI, FL 33173
Physician Assistant
7800 SW 87TH AVE, S. C300
MIAMI, FL 33173
Physician Assistant (Medical)
7800 SW 87TH AVE, SUITE A-100
MIAMI, FL 33173
Obstetrics & Gynecology
7800 SW 87TH AVE, STE A-120
MIAMI, FL 33173
Internal Medicine
7800 SW 87TH AVE, SUITE C320
MIAMI, FL 33173
Nurse Practitioner
7800 SW 87TH AVE, SUITE C-340
MIAMI, FL 33173
Allergy & Immunology
7800 SW 87TH AVE, SUITE C-340
MIAMI, FL 33173

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 Jose Gaviria's NPI number?

The NPI number for Jose Gaviria is 1942207204. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Jose Gaviria located?

Jose Gaviria practices at 7800 SW 87th Ave # B260, Miami, FL 33173. The listed phone number is (305) 595-4590.

What is Jose Gaviria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Jose Gaviria enrolled in Medicare?

Yes. Jose Gaviria 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 Jose Gaviria accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jose Gaviria 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 Jose Gaviria affiliated with any hospitals?

According to CMS data, Jose Gaviria is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Jose Gaviria was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.