DR. MANUEL A OJEDA MD
NPI 1952333775
Internal Medicine in Miami Beach, FL

Q: What is Manuel Ojeda's NPI number?

The NPI number for Manuel Ojeda is 1952333775. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Manuel Ojeda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Manuel Ojeda was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4351 ROYAL PALM AVE, MIAMI BEACH, FL 33140(305) 861-5196(305) 468-6258 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Manuel A Ojeda Md NPPES

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

DR. MANUEL A OJEDA MD (NPI 1952333775) is an individual internal medicine provider in Miami Beach, Florida, licensed in Florida (ME83761) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1952333775

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MANUEL A OJEDACredential: MD

Location Address4351 ROYAL PALM AVEMiami Beach, FL 33140-3018

Mailing Address4351 Royal Palm AveMiami Beach, FL 33140-3018 · (305) 861-5196 · Fax (305) 468-6258

Phone(305) 861-5196

Fax(305) 468-6258

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 6, 2006

Last NPPES UpdateJanuary 21, 2010

✔ NPI 1952333775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME83761

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4351 ROYAL PALM AVE, Miami Beach, FL 33140

Open in Google Maps ↗

Other Identifiers 3

Medicaid263465101FL

Medicare UPINH58107

Medicare ID-Type UnspecifiedE7223FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Manuel A Ojeda 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 ID6103848338

PECOS Enrollment IDI20051230000491

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.

Medicare Billing Reassignments

Medicare enrollment records show Manuel Ojeda reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Manuel A Ojeda MD PA

Same address

Internal Medicine

4351 ROYAL PALM AVE
Miami Beach, FL 33140

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1326032533 (305) 861-5196

Miami Jewish Health Systems, Inc.

4.0 mi

Skilled Nursing Facility

5200 NE 2ND AVE
Miami, FL 33137

Reassigned Medicare billing, Florida enrollment
53 clinicians in this Medicare group

NPI 1821093451 (305) 751-8626

Qmc LLC

9.8 mi

Hospitalist

5201 BLUE LAGOON DR FL 89
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
183 clinicians in this Medicare group

NPI 1003216391 (305) 554-1700

Montura Health LLC

84 mi

Clinic/Center

8360 COUNTRY ROAD 833
Clewiston, FL 33440

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1912745209 (786) 629-9050

First Docs PC

1,189 mi

Internal Medicine

1525 OXFORD LN
Naperville, IL 60565

Reassigned Medicare billing, Florida enrollment
390 clinicians in this Medicare group

NPI 1417655465 (702) 762-2485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

4,898 services366 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.

2,357 services459 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

695 services157 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.

385 services320 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

320 services100 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

156 services132 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

141 services132 patients

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.

59 services12 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 services47 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

48 services43 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

33 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100258

Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County

Emergency services

Douglas Gardens Hospital

Acute Care Hospitals · Miami, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100277

Location5200 NE 2nd AveMiami, FL 33137 · Miami-Dade County

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 33140 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 43

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims528 services$3.03 avg. paid by Medicare

Insertion tray without drainage bag and without catheter (accessories only) A4310

DME-Medical/Surgical Supplies · category DA000N

2 suppliers35 claims35 services$5.97 avg. paid by Medicare

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

2 suppliers35 claims35 services$11.17 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers35 claims70 services$8.84 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier23 claims184 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each A4415

DME-Orthotic Devices · category DF010N

1 supplier19 claims380 services$5.77 avg. paid by Medicare

Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419

DME-Orthotic Devices · category DF010N

1 supplier12 claims720 services$1.66 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier13 claims836 services$0.08 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier23 claims2,300 services$0.23 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

2 suppliers14 claims420 services$6.32 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

2 suppliers17 claims1,538 services$2.56 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

2 suppliers13 claims58 services$3.54 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

3 suppliers21 claims630 services$4.50 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier23 claims1,150 services$0.23 avg. paid by Medicare

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims570 services$30.10 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims1,260 services$5.11 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers22 claims807 services$0.89 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220

DME-Medical/Surgical Supplies · category DA023N

1 supplier20 claims940 services$2.44 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims650 services$0.11 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims2,031 services$0.30 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers18 claims102 services$7.14 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

2 suppliers18 claims204 services$3.15 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier12 claims24 services$1.27 avg. paid by Medicare

Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007

DME-Other DME · category DE000N

1 supplier12 claims24 services$2.95 avg. paid by Medicare

Tracheostomy mask, each A7525

DME-Orthotic Devices · category DF000N

2 suppliers17 claims17 services$2.00 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

5 suppliers76 claims1,322 services$2.85 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers406 claims6,941 services$4.87 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

6 suppliers386 claims114,190 services$0.27 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers101 claims35,230 services$0.59 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

3 suppliers109 claims117 services$56.08 avg. paid by Medicare

Walker, rigid, wheeled, adjustable or fixed height E0141

DME-Other DME · category DE000N

3 suppliers22 claims22 services$62.93 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

3 suppliers19 claims19 services$45.51 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

5 suppliers94 claims94 services$43.71 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers58 claims58 services$14.70 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers27 claims27 services$38.79 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers61 claims71 services$4.68 avg. paid by Medicare

Manual wheelchair accessory, anti-tipping device, each E0971

DME-Wheelchairs · category DD021N

2 suppliers25 claims47 services$25.28 avg. paid by Medicare

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973

DME-Wheelchairs · category DD021N

2 suppliers24 claims47 services$46.53 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers58 claims58 services$74.60 avg. paid by Medicare

General use wheelchair seat cushion, width less than 22 inches, any depth E2601

DME-Wheelchairs · category DD021N

2 suppliers24 claims24 services$30.79 avg. paid by Medicare

General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware E2611

DME-Wheelchairs · category DD021N

2 suppliers24 claims24 services$137.49 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

5 suppliers151 claims154 services$17.40 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier77 claims77 services$7.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MANUEL A OJEDA MD PA

Internal Medicine

4351 ROYAL PALM AVE
MIAMI BEACH, FL 33140

Miami-Dade County (305) 861-5196

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 Manuel Ojeda's NPI number?

The NPI number for Manuel Ojeda is 1952333775. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Manuel Ojeda located?

Manuel Ojeda practices at 4351 Royal Palm Ave, Miami Beach, FL 33140. The listed phone number is (305) 861-5196.

What is Manuel Ojeda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manuel Ojeda enrolled in Medicare?

Yes. Manuel Ojeda 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.

Which organizations bill Medicare for Manuel Ojeda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Ojeda reassigns Medicare benefits to 5 organizations: Manuel A Ojeda MD PA (Miami Beach, FL), Miami Jewish Health Systems, Inc. (Miami, FL), Qmc LLC (Miami, FL), Montura Health LLC (Clewiston, FL) and First Docs PC (Naperville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manuel Ojeda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Ojeda accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Manuel Ojeda 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 Manuel Ojeda affiliated with any hospitals?

According to CMS data, Manuel Ojeda is affiliated with Jackson Health System, Mount Sinai Medical Center Of Florida, Inc, Delray Medical Center, Douglas Gardens Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Ojeda was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.