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DAYLEM ANTUNEZ M.D.
NPI 1982959169
Internal Medicine - Gastroenterology in Miami, FL

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
3661 S MIAMI AVE STE 805, MIAMI, FL 33133(305) 856-7333(305) 856-8030 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 15, 2017 (2 updates tracked since 2017).

About Daylem Antunez M.d. NPPES

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

DAYLEM ANTUNEZ M.D. (NPI 1982959169) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME132773) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Mercy Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1982959169
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDAYLEM ANTUNEZCredential: M.D.
Location Address3661 S MIAMI AVE STE 805Miami, FL 33133-4214
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (305) 468-4185 · Fax (305) 675-3378
Phone(305) 856-7333
Fax(305) 856-8030
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 13, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982959169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME132773
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3661 S MIAMI AVE STE 805, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 1

OtherME132773FL · Florida Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Daylem Antunez 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 ID446523237
PECOS Enrollment IDI20170829004259
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 8

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services48 patients
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.
50 services39 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
41 services39 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
41 services40 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.
34 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

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 33133 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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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 Daylem Antunez's NPI number?

The NPI number for Daylem Antunez is 1982959169. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Daylem Antunez located?

Daylem Antunez practices at 3661 S Miami Ave Ste 805, Miami, FL 33133. The listed phone number is (305) 856-7333.

What is Daylem Antunez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Daylem Antunez enrolled in Medicare?

Yes. Daylem Antunez 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.

What insurance does Daylem Antunez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Daylem Antunez 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 Daylem Antunez affiliated with any hospitals?

According to CMS data, Daylem Antunez is affiliated with Hca Florida Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Daylem Antunez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.