Sergio Tierrablanca, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS19567 Issued in FL

Practice address

7400 SW 87TH Ave Ste 260
Miami, FL 33173-5458

Phone

(786) 595-8040

NPI assigned

Mar 27, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Nova Southeastern College of Osteo Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urgent Care Physicians of West Kendall LLCGroup PAC ID 4789772591, 31 clinicians

Urgent Care Physicians of Tamiami LLCGroup PAC ID 3375632805, 30 clinicians

Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Urgent Care Physicians of Palmetto Bay LLCGroup PAC ID 9032202049, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
• South Miami Hospital Hospital, Miami, FL, CCN 100154

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as apm

Quality

81.94

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ser06959@cerner.directbaptisthealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Health Medical Group Physicians LLC

  • Specialist
  • Miami, FL
  • NPI 1891893343
  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of Palmetto Bay LLC

  • General Practice Physician
  • Palmetto Bay, FL
  • NPI 1740403914
  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of Tamiami LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1639381965
  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of West Kendall LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1508989757
  Medicare reassignment Care Compare group NPD
• Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1689838849
  Medicare reassignment NPD
• Urgent Care Physicians of Cutler Bay, LLC

  • General Practice Physician
  • Cutler Bay, FL
  • NPI 1356163638
  Medicare reassignment NPD
• Urgent Care Physicians of Westchester LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1992928162
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1023645041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844872",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 87TH AVE STE 260",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735458",
            "telephone_number": "786-595-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERRABLANCA",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SER06959@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "7400 SW 87th Ave Ste 260",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331735458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Wesley Tice Jr., PTA
• Samuel Y Tielves Alvarez
• Fidel Y Tielves Lazo
• Jennifer Tielves Ordaz
• Nicole Marie Tielves, MS, OTR/L
• May Tieu
• Tuan Gia Tieu, MD
• Tiffani Amir Service Management LLC
• Tiffany Cerda DPM PA
• Tiffany Senior Care

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.