HERMINIO GARCIA-ESTRADA MD
NPI 1942732953
Internal Medicine - Nephrology in Miami, FL

Q: What is Herminio Garcia-estrada's NPI number?

The NPI number for Herminio Garcia-estrada is 1942732953. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Herminio Garcia-estrada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment

550 SW 27TH AVE, MIAMI, FL 33135(305) 632-2747(305) 541-2667 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, May 3, 2023, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

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About Herminio Garcia-estrada Md NPPES

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

HERMINIO GARCIA-ESTRADA MD (NPI 1942732953) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME160948) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1942732953

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameHERMINIO GARCIA-ESTRADACredential: MD

Location Address550 SW 27TH AVEMiami, FL 33135-2972

Mailing Address550 Sw 27th AveMiami, FL 33135-2972 · (305) 541-2655 · Fax (305) 541-2667

Phone(305) 632-2747

Fax(305) 541-2667

Sole ProprietorNo

Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2017

Enumeration DateMarch 29, 2017

Last NPPES UpdateMay 25, 20236 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1942732953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in FL · ME160948✔ Licensed in PR · 021786

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 021786 (PR)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 34620 (PR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

550 SW 27TH AVE, Miami, FL 33135

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Secondary Practice Location 1

Location 110 Calle Casia, VA Caribbean Healthcare, Medical Services Office C-274San Juan, PR 00921-3200 · Phone (787) 641-3670 · Fax (787) 641-4561

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Wellpoint.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

Herminio Garcia-estrada Md 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 ID3971990425

PECOS Enrollment IDI20231016002163

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 4

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.

106 services33 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.

25 services17 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.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 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

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100167

Location3663 S Miami AveMiami, FL 33133 · 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33135 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 3

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

MIAMI CARE MEDICAL CENTER

Clinic/Center (Health Service)

550 SW 27TH AVE, SUITE 3
MIAMI, FL 33135

Miami-Dade County (786) 334-6041

MIAMI CARE TEAM HOME HEALTH INC.

Home Health

550 SW 27TH AVE, SUITE # 4
MIAMI, FL 33135

Miami-Dade County (305) 644-4144

GARCIA-ESTRADA, M.D., KIDNEY ASSOCIATES, P.A.

Internal Medicine (Nephrology)

550 SW 27TH AVE
MIAMI, FL 33135

Miami-Dade County (305) 541-2655

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 Herminio Garcia-estrada's NPI number?

The NPI number for Herminio Garcia-estrada is 1942732953. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Herminio Garcia-estrada located?

Herminio Garcia-estrada practices at 550 SW 27th Ave, Miami, FL 33135. The listed phone number is (305) 632-2747.

What is Herminio Garcia-estrada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Herminio Garcia-estrada enrolled in Medicare?

Yes. Herminio Garcia-estrada 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 Herminio Garcia-estrada accept?

Health plans from Oscar Health Maintenance Organization of Florida and Wellpoint list Herminio Garcia-estrada 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 Herminio Garcia-estrada affiliated with any hospitals?

According to CMS data, Herminio Garcia-estrada is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Hca Florida Mercy Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Herminio Garcia-estrada was last updated on May 25, 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.