Individual provider Active NPI

Alexander Jonas Egusquiza, M.D.

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1104276583
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME161820 Issued in FL
Practice address
7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474
Phone
(786) 299-5419
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125068984 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME161820 FL
Pediatrics Physician 208000000X 125068984 IL
Pulmonary Disease Physician 207RP1001X ME161820 FL Primary

Addresses

Primary practice location

7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474

Mailing address

7000 SW 97TH Ave Ste 120
Miami, FL 33173-1474
Phone (786) 299-5419

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230627002493 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143512970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pedro Sevilla LLCGroup PAC ID 2365735198, 6 clinicians

Practice addresses (Care Compare)

7000 SW 97TH Ave
Suite 120
Miami, FL 33173-1474
Phone (786) 299-5419

Baptist Hospital of Miami
8900 W Kendall Drive
Miami, FL 33176-2118
Phone (786) 596-1960

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

Merit-based Incentive Payment System (MIPS)

Final score
78.5 of 100Reported as group
Quality
44.31
Improvement activities
40
Cost
71.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME161820FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro Sevilla LLC Critical Care Medicine CurrentSince Jul 1, 2023 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine PastSince Jun 1, 2020 Accepting new patients

Locations

7000 SW 97th Ave
Ste 120
Miami, FL 33173
Phone (305) 670-0055

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1104276583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731474",
            "telephone_number": "786-299-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 120",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731474",
            "telephone_number": "786-299-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUSQUIZA",
        "first_name": "ALEXANDER",
        "middle_name": "JONAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125068984",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME161820",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125068984",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME161820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.