RAFAEL ABREU M.D NPI 1265769822

NPI Information

  • NPI: 1265769822
  • Provider Name: RAFAEL ABREU, M.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1435 W 49TH PL STE 500
    HIALEAH, FL
    ZIP 33012
  • Phone: (305) 392-0380

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NPI Details

Rafael Abreu, M.D is a family medicine in Hialeah, FL with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Rafael Abreu, M.D NPI is 1265769822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1435 W 49TH PL STE 500
HIALEAH, FL
ZIP 33012-158
Phone: (305) 392-0380
Fax: (305) 603-9683

The NPI 1265769822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Hospital observation care on day of discharge (HCPCS:99217)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Follow-up observation care per day, typically 35 minutes (HCPCS:99226)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Hospital discharge day management, 30 minutes or less (HCPCS:99238)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Hospital observation or inpatient care admitted and discharged on the same day for high severity problem, typically 55 minutes (HCPCS:99236)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)

The enumeration date for this NPI number is 11/3/2009 and was last updated on 1/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME109733FLORIDAYes
2208M00000XHospitalistME109733FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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