DR. INELISSE OTERO-DIAZ M.D.
NPI 1952735862
Internal Medicine in Hialeah, FL

Q: What is Inelisse Otero-diaz's NPI number?

The NPI number for Inelisse Otero-diaz is 1952735862. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Q: What is Inelisse Otero-diaz's specialty?

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

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment

91.79/100

CMS Quality Rating

1475 W 49TH PL, HIALEAH, FL 33012(305) 558-2500 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Inelisse Otero-diaz M.d. NPPES

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

DR. INELISSE OTERO-DIAZ M.D. (NPI 1952735862) is an individual internal medicine provider in Hialeah, Florida, licensed in Florida (ME128511) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952735862

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. INELISSE OTERO-DIAZCredential: M.D.

Location Address1475 W 49TH PLHialeah, FL 33012-3113

Mailing Address2751 Nw 70th BlvdBoca Raton, FL 33496-3529 · (787) 633-5616

Phone(305) 558-2500

Sole ProprietorYes

Medical School CMSPonce School Of MedicineGraduated 2012

Enumeration DateAugust 27, 2013

Last NPPES UpdateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1952735862 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 · ME128511

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.

1475 W 49TH PL, Hialeah, FL 33012

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Secondary Practice Locations 3

Location 11600 SW Archer RdGainesville, FL 32610-3113 · Phone (352) 265-5911 · Fax (352) 265-5606

Location 23663 S Miami AveMiami, FL 33133-4237 · Phone (305) 854-4400

Location 3300 Executive Center DrWest Palm Beach, FL 33401-4842 · Phone (561) 471-5566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Inelisse Otero-diaz 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 ID1557640661

PECOS Enrollment IDI20161114000564

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 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.

99 services54 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.

70 services36 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.

62 services60 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.

40 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100113

Location1600 SW Archer RdGainesville, FL 32610 · Alachua 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

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100260

Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33012 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.

91.79/100

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

Scored as part of a group practice

Quality

67.77

Improvement Activities

Cost

98.4

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

96%290 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. WILLIE PENA MD, DC

Neuromusculoskeletal Medicine & OMM