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RAFAEL E SEGURA HERRERA
NPI 1982251070
Nurse Practitioner - Family in Miami, FL

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment
2435 NW 7TH ST, MIAMI, FL 33125(786) 229-2997 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2021, Aug 22, 2019 (2 updates tracked since 2019).

About Rafael E Segura Herrera NPPES

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

RAFAEL E SEGURA HERRERA (NPI 1982251070) is an individual family provider in Miami, Florida, licensed in Florida (APRN11013622) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coral Gables, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1982251070
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAFAEL E SEGURA HERRERA
Location Address2435 NW 7TH STMiami, FL 33125-3134
Mailing Address2740 Sw 31st AveMiami, FL 33133-2924
Phone(786) 229-2997
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2019
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1982251070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11013622
Also ListedBehavior AnalystTaxonomy 103K00000X
2435 NW 7TH ST, Miami, FL 33125
Open in Google Maps ↗

Secondary Practice Location 1

Location 12828 Coral Way Ste 560Coral Gables, FL 33145-3214 · Phone (786) 238-7298 · Fax (786) 953-7117

Accepted Insurance

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

Rafael E Segura Herrera 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 ID5890171680
PECOS Enrollment IDI20221001000005
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

5

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

Duval Emergency Group LLC
11 mi
Emergency Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • 81 clinicians in this Medicare group
NPI 1053645465 (305) 651-1100
Oak Grove Physician Services, P.A.
11 mi
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group
NPI 1689446700 (305) 651-1100
Hospital Medicine Services Of Fl, LLC
14 mi
Hospitalist
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 861 clinicians in this Medicare group
NPI 1710684857 (305) 682-7000
Professional Medical Research LLC
21 mi
Research
4101 RAVENSWOOD RD STE 202
Fort Lauderdale, FL 33312
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1407596810 (954) 251-3454
Accountable Care Hospitalist Group
60 mi
Internal Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 265 clinicians in this Medicare group
NPI 1659640282 (561) 766-1300

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 3

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.
185 services65 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 services38 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.
32 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

CAREMAX MEDICAL CENTER OF LITTLE HAVANA II LLC
Clinic/Center
2435 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 501-2804
CLINICA LAS AMERICAS
Clinic/Center
2435 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 582-0310
NIURVIS GOMEZ DDS
Student in an Organized Health Care Education/Training Program
2435 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 501-2804
MARLON VARGAS CASTILLO
Massage Therapist
2435 NW 7TH ST
MIAMI, FL 33125
Miami-Dade County (305) 501-2804

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 Rafael Segura Herrera's NPI number?

The NPI number for Rafael Segura Herrera is 1982251070. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Rafael Segura Herrera located?

Rafael Segura Herrera practices at 2435 NW 7th St, Miami, FL 33125. The listed phone number is (786) 229-2997.

What is Rafael Segura Herrera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rafael Segura Herrera enrolled in Medicare?

Yes. Rafael Segura Herrera 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 Rafael Segura Herrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Segura Herrera reassigns Medicare benefits to 5 organizations: Duval Emergency Group LLC (North Miami Beach, FL), Oak Grove Physician Services, P.A. (North Miami Beach, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL), Professional Medical Research LLC (Fort Lauderdale, FL) and Accountable Care Hospitalist Group (Wellington, FL). 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 Rafael Segura Herrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafael Segura Herrera accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Rafael Segura Herrera 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.

When was this NPI record last updated?

The NPPES record for Rafael Segura Herrera was last updated on June 11, 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.