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JOSE MANUEL SANCHEZ M.D.
NPI 1942258355
Internal Medicine - Gastroenterology in Coral Gables, FL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
475 BILTMORE WAY, STE 204, CORAL GABLES, FL 33134(305) 964-7392(305) 726-0016 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Mar 2, 2017 (2 updates tracked since 2017).

About Jose Manuel Sanchez M.d. NPPES

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

JOSE MANUEL SANCHEZ M.D. (NPI 1942258355) is an individual gastroenterology provider in Coral Gables, Florida, licensed in Florida (ME93486) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Keralty Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1942258355
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOSE MANUEL SANCHEZCredential: M.D.
Location Address475 BILTMORE WAY, STE 204Coral Gables, FL 33134-5736
Mailing AddressPo Box 565811Miami, FL 33256-5811 · (305) 964-7392 · Fax (305) 726-0016
Phone(305) 964-7392
Fax(305) 726-0016
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 5, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1942258355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME93486
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
475 BILTMORE WAY, Coral Gables, FL 33134
Open in Google Maps ↗

Other Identifiers 2

Medicaid272957100FL
OtherME93486FL · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL) 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

Jose Manuel Sanchez 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 ID9133159783
PECOS Enrollment IDI20050815000246
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 8

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.
624 services59 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.
46 services44 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.
43 services28 patients
Insertion of stomach tube using a flexible endoscope 43246
This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.
28 services27 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services21 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.
24 services15 patients

Hospital Affiliations CMS Care Compare

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

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARMANDO A GARCIA MD
Internal Medicine (Cardiovascular Disease)
475 BILTMORE WAY, SUITE 205
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-6422
ESTHER LEVIN MD
Internal Medicine (Cardiovascular Disease)
475 BILTMORE WAY, STE 401
CORAL GABLES, FL 33134
Miami-Dade County (305) 476-5001
JOSE MANUEL SANCHEZ MD PA
Internal Medicine (Gastroenterology)
475 BILTMORE WAY, 204
CORAL GABLES, FL 33134
Miami-Dade County (305) 964-7392
BRIAN S. KUSHMAN M.D.
Internal Medicine (Cardiovascular Disease)
475 BILTMORE WAY, SUITE 201
CORAL GABLES, FL 33134
Miami-Dade County (305) 443-5291
DR. MANUEL R SEAGE DDS
Dentist
475 BILTMORE WAY, SUITE 302
CORAL GABLES, FL 33134
Miami-Dade County (305) 445-6969
ADVANCED IMAGING SERVICES,INC.
Clinic/Center (Radiology)
475 BILTMORE WAY
CORAL GABLES, FL 33134
Miami-Dade County (305) 442-2029
STUART GOTTLIEB MD CHARTERED
Physiological Laboratory
475 BILTMORE WAY, SUITE 106
CORAL GABLES, FL 33134
Miami-Dade County (305) 461-1700
ARMANDO A GARCIA MD PA
Internal Medicine (Cardiovascular Disease)
475 BILTMORE WAY, SUITE 204
CORAL GABLES, FL 33134
Miami-Dade County (305) 444-6422

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 Sanchez's NPI number?

The NPI number for Jose Sanchez is 1942258355. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jose Sanchez located?

Jose Sanchez practices at 475 Biltmore Way Ste 204, Coral Gables, FL 33134. The listed phone number is (305) 964-7392.

What is Jose Sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jose Sanchez enrolled in Medicare?

Yes. Jose Sanchez 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 Sanchez accept?

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

According to CMS data, Jose Sanchez is affiliated with Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Jose Sanchez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.