DR. ROBERTO ENRIQUE OCHOA PLANCHART MD
NPI 1962659466
Internal Medicine - Hematology & Oncology in Hialeah, FL

Q: What is Roberto Ochoa Planchart's NPI number?

The NPI number for Roberto Ochoa Planchart is 1962659466. It was assigned to this individual provider in the NPPES registry on August 26, 2008. The provider is also known as Dr. Roberto Enrique Ochoa MD.

Q: What is Roberto Ochoa Planchart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since August 26, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

5961 NW 173RD DR, HIALEAH, FL 33015(305) 556-7500 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2021, Oct 23, 2020, Nov 10, 2016 (3 updates tracked since 2016).

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About Dr. Roberto Enrique Ochoa Planchart Md NPPES

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

DR. ROBERTO ENRIQUE OCHOA PLANCHART MD (NPI 1962659466) is an individual hematology & oncology provider in Hialeah, Florida, licensed in Florida (ME112357) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Steward Coral Gables Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1962659466

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. ROBERTO ENRIQUE OCHOA PLANCHARTCredential: MD

Location Address5961 NW 173RD DRHialeah, FL 33015

Mailing Address1395 Nw 167th StMiami, FL 33169-5742 · (305) 831-4761

Phone(305) 556-7500

Sole ProprietorYes

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002

Enumeration DateAugust 26, 2008

Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1962659466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME112357

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5961 NW 173RD DR, Hialeah, FL 33015

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Other Names 1

Other Name (5)Dr. Roberto Enrique Ochoa Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health 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. Roberto Enrique Ochoa Planchart 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 ID941456412

PECOS Enrollment IDI20120816000213

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 Reassignment

Medicare enrollment records show Roberto Ochoa Planchart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Starling Oncology Fl, LLC

198 mi

Medical Oncology

6499 38TH AVE N, SUITE G1
St Petersburg, FL 33710

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: The Oncology Institute Fl, LLC
30 clinicians in this Medicare group

NPI 1730142373 (727) 381-3761

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 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.

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.

58 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

34 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Steward Coral Gables Hospital

Acute Care Hospitals · Coral Gables, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100183

Location3100 Douglas RdCoral Gables, FL 33134 · Miami-Dade County

Emergency services

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33015 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

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.

100/100

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

Scored through an Alternative Payment Model

Quality

91.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 19

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

REYNIER POMARES CASTILLO MD

Internal Medicine

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

MEYLIN LAM HERNANDEZ MD

Family Medicine

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

JOI DERISMA

Massage Therapist

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

ZADDY LAFOURCADE PRADA MD

General Practice

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

CRISTINA ELAINE BELLO-QUINTERO

Internal Medicine

5961 NW 173RD DR, DEPT. OF MEDICINE, CENTRAL BLDG 600 D
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

CHEN NEIGHBORHOOD MEDICAL MIAMI LAKES, LLC

Specialist

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

DR. ERIKA COX M.D.

Family Medicine

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 556-7500

CHEN MEDICAL MIAMI LAKES INC

Specialist

5961 NW 173RD DR
HIALEAH, FL 33015

Miami-Dade County (305) 653-1770

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 Roberto Ochoa Planchart's NPI number?

The NPI number for Roberto Ochoa Planchart is 1962659466. It was assigned to this individual provider in the NPPES registry on August 26, 2008. The provider is also known as Dr. Roberto Enrique Ochoa MD.

Where is Roberto Ochoa Planchart located?

Roberto Ochoa Planchart practices at 5961 NW 173rd Dr, Hialeah, FL 33015. The listed phone number is (305) 556-7500.

What is Roberto Ochoa Planchart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Roberto Ochoa Planchart enrolled in Medicare?

Yes. Roberto Ochoa Planchart 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 organization bills Medicare for Roberto Ochoa Planchart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Ochoa Planchart reassigns Medicare benefits to Starling Oncology Fl, LLC (St Petersburg, FL). The 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 Roberto Ochoa Planchart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Ochoa Planchart accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 5 other insurers list Roberto Ochoa Planchart 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 Roberto Ochoa Planchart affiliated with any hospitals?

According to CMS data, Roberto Ochoa Planchart is affiliated with Steward Coral Gables Hospital and Hca Florida Kendall Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Ochoa Planchart was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.