1. Home
  2. Directory
  3. Florida
  4. Hialeah
  5. Internal Medicine
  6. NPI Profile

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

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: October 25, 2026.

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1300 Executive Center DrWest Palm Beach, FL 33401-4842 · Phone (561) 471-5566
Location 23663 S Miami AveMiami, FL 33133-4237 · Phone (305) 854-4400
Location 31600 SW Archer RdGainesville, FL 32610-3113 · Phone (352) 265-5911 · Fax (352) 265-5606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. 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.

Medicare Billing Reassignments

9

Medicare enrollment records show Inelisse Otero-diaz reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Collins Physician Services, LLC
11 mi
Hospitalist
4300 ALTON RD
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
NPI 1457839524 (305) 481-9776
Hospital Medicine Services Of Fl, LLC
13 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Tenet Florida Physician Services, LLC
61 mi
Physical Therapist
1411 N FLAGLER DR, SUITE 8000
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1699111211 (561) 650-6231
Premier Inpatient Partners LLC
95 mi
Hospitalist
2338 IMMOKALEE RD, SUITE 186
Naples, FL 34110
  • Reassigned Medicare billing, Florida enrollment
  • 140 clinicians in this Medicare group
NPI 1568916492 (239) 330-2933
Cogent Healthcare Of Jacksonville, LLC
199 mi
Internal Medicine
10501 ROOSEVELT BLVD N
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
NPI 1386215275 (727) 577-3800
Sound Physicians Of Florida IV, LLC
200 mi
Internal Medicine
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
NPI 1235712415 (813) 971-6000
Florida Clinical Practice Association Inc
288 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Pensacola Hospitalist Physicians, LLC
520 mi
Hospitalist
1110 GULF BREEZE PKWY
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 150 clinicians in this Medicare group
NPI 1578164497 (850) 934-2000
Apogee Medical Group, Florida Inc
1,965 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1386916104 (602) 778-3600

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 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 2

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

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
Quality67.77
Improvement Activities40
Cost98.4

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
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 558-2500
LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS, LLC
General Acute Care Hospital
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 558-2500
NIKHIL RAJ
Student in an Organized Health Care Education/Training Program
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 558-2500
MIGUEL EDUARDO RODRIGUEZ RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 558-2500
NATALIE VIRGINIA GARCES MD
Student in an Organized Health Care Education/Training Program
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 284-7774
AYODEJI AFODE
Pharmacy (Institutional Pharmacy)
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 824-4780
CHARLES A MESSA IV MD, MBA
Student in an Organized Health Care Education/Training Program
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (305) 558-1949
DR. CRISTIAN ANTONIO GONZALEZ MD
Clinic/Center (Student Health)
1475 W 49TH PL
HIALEAH, FL 33012
Miami-Dade County (813) 690-1686

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 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.

Where is Inelisse Otero-diaz located?

Inelisse Otero-diaz practices at 1475 W 49th Pl, Hialeah, FL 33012. The listed phone number is (305) 558-2500.

What is Inelisse Otero-diaz's specialty?

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

Is Inelisse Otero-diaz enrolled in Medicare?

Yes. Inelisse Otero-diaz 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 Inelisse Otero-diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Inelisse Otero-diaz reassigns Medicare benefits to 9 organizations: Collins Physician Services, LLC (Miami Beach, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL), Tenet Florida Physician Services, LLC (West Palm Beach, FL), Premier Inpatient Partners LLC (Naples, FL), Cogent Healthcare Of Jacksonville, LLC (St Petersburg, FL) and 4 more organizations, listed in the Medicare section above. 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 Inelisse Otero-diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Inelisse Otero-diaz accept?

Health plans from 22 Health, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Inelisse Otero-diaz 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 Inelisse Otero-diaz affiliated with any hospitals?

According to CMS data, Inelisse Otero-diaz is affiliated with Uf Health Shands Hospital and Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Inelisse Otero-diaz was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.