JOSE E NAVARRETE M.D.
NPI 1952312837
Internal Medicine - Nephrology in Atlanta, GA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGY, ATLANTA, GA 30308(404) 686-5038 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jose E Navarrete M.d. NPPES

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

JOSE E NAVARRETE M.D. (NPI 1952312837) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (048069) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1952312837
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJOSE E NAVARRETECredential: M.D.
Location Address550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGYAtlanta, GA 30308-2247
Mailing Address550 Peachtree St Ne Fl 7, Emory Crawford Long Mot - NephrologyAtlanta, GA 30308-2247 · (404) 686-5038
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1952312837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 048069
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.

550 PEACHTREE ST NE FL 7, Atlanta, GA 30308

Other Identifiers 1

Medicare UPINH93199GA

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 E Navarrete 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 ID9032176615
PECOS Enrollment IDI20041215000498
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
207 services60 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
184 services101 patients
Follow-up hospital inpatient care per day, typically 25 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.
134 services68 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
102 services16 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
70 services45 patients
Initial hospital inpatient care per day, typically 70 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.
58 services55 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Nephrology)
550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGY
ATLANTA, GA 30308
Internal Medicine (Nephrology)
550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGY
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952312837, enumerated as an "individual" on August 10, 2006.

The provider is located at 550 PEACHTREE ST NE FL 7 EMORY CRAWFORD LONG MOT - NEPHROLOGY ATLANTA, GA 30308 and the phone number is (404) 686-5038.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Jose Navarrete is affiliated with: EMORY UNIVERSITY HOSPITAL MIDTOWN.