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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: August 23, 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, 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
Phone(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
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH93199GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 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 7

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.
215 services81 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.
129 services42 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.
100 services69 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.
77 services66 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.
51 services50 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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
Scored through an Alternative Payment Model
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.

TAHSIN MASUD M.D.
Internal Medicine (Nephrology)
550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGY
ATLANTA, GA 30308
Fulton County (404) 686-5038
ANEES QUYYUMI M.D.
Internal Medicine (Nephrology)
550 PEACHTREE ST NE FL 7, EMORY CRAWFORD LONG MOT - NEPHROLOGY
ATLANTA, GA 30308
Fulton County (404) 686-5038
COLIN JOHNSON
Physician Assistant
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Fulton County (404) 778-5673
MEGHANA ANUGU M.D.
Internal Medicine
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Fulton County (404) 686-8181
ELIZABETH YOUNG-WHA KIM MD, MPH, MSC
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Fulton County (404) 686-8114
DR. BRENTON L BLACK MD
Internal Medicine
550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308
Fulton County (404) 686-8181

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 Navarrete's NPI number?

The NPI number for Jose Navarrete is 1952312837. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Jose Navarrete located?

Jose Navarrete practices at 550 Peachtree St NE Fl 7 Emory Crawford Long Mot - Nephrology, Atlanta, GA 30308. The listed phone number is (404) 686-5038.

What is Jose Navarrete's specialty?

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

Is Jose Navarrete enrolled in Medicare?

Yes. Jose Navarrete 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 Navarrete accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jose Navarrete 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 Navarrete affiliated with any hospitals?

According to CMS data, Jose Navarrete is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Jose Navarrete 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.