MIGUEL MUJICA-BAELLA MD
NPI 1962611673
Hospitalist in Miami, FL

Q: What is Miguel Mujica-baella's NPI number?

The NPI number for Miguel Mujica-baella is 1962611673. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Miguel Mujica-baella's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since May 21, 2007PECOS Enrolled

99.93/100

CMS Quality Rating

9555 SW 162ND AVE, MIAMI, FL 33196(786) 467-2159 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jul 21, 2023 (2 updates tracked since 2023).

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About Miguel Mujica-baella Md NPPES

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

MIGUEL MUJICA-BAELLA MD (NPI 1962611673) is an individual hospitalist provider in Miami, Florida, licensed in Florida (ME107145) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1962611673

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMIGUEL MUJICA-BAELLACredential: MD

Location Address9555 SW 162ND AVEMiami, FL 33196-6408

Mailing AddressPo Box 198054Atlanta, GA 30384-3530 · (786) 467-2159

Phone(786) 467-2159

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 21, 2007

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1962611673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME107145

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME107145 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9555 SW 162ND AVE, Miami, FL 33196

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Secondary Practice Location 1

Location 18900 N Kendall DrMiami, FL 33176-2118 · Phone (786) 596-6743

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel Mujica-baella Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911190954

PECOS Enrollment IDI20101021001367

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 5

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.

626 services51 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.

515 services135 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.

84 services83 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.

63 services59 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100296

Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County

Emergency services

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100314

Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33196 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.

99.93/100

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

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

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…

75%150 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier11 claims11 services$3.28 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier36 claims36 services$14.56 avg. paid by Medicare

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

DME-Wheelchairs · category DD021N

1 supplier21 claims21 services$5.10 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 20

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

STEPHANIE MOURINO

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