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Active NPI 1881630382 Individual Practitioner Male Practitioner

Dr. Luis Felipe Verdecia , MD

General Practice • Hialeah, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Verdecia, MD is a certified General Practice practicing in Hialeah, FL. With approximately 50 years of clinical experience since completing medical education in 1976, Dr. Verdecia delivers high-quality medical care to the local community at 5375 W 20TH AVE.

Dr. Verdecia accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5375 W 20th Ave

Hialeah, FL 330122101

Telephone 3052040333
Fax 3053597546
Associated Practice Facility / Clinic
🏢 Univida Medical Center Llc Facility NPI 1053105635

Medicare Profile & Education

Medical School

Other

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hialeah, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
50 Yrs +14.3 yrs vs City Avg
City Avg: 35.7 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
115 Specialists

Practicing in Hialeah, FL (2490 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Verdecia (50 Years) 50 Yrs
Hialeah Specialty Average (35.7 Years) 35.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
94 29 $321.64 $95.45
36415 Insertion of needle into vein for collection of blood sample
31 17 $37.90 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 12 $438.61 $133.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
13 13 $372.19 $133.68

Medical Specialties & State Licenses

CMS Verified: 2025-08-07
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME81400

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
260500700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Reinaldo Llorca , ARNP

Nurse Practitioner - Family

NPI 1003362823

Advanced Registered Nurse Practitioner

Lester Montoya

General Practice

NPI 1003569377
NPI 1013115534

Doctor of Medicine (M.D.)

Oscar Pino , APRN

Nurse Practitioner - Family

NPI 1083597231

Advanced Practice Registered Nurse

Dr. Alberto Alonso , MD

General Practice

NPI 1093702136

Doctor of Medicine (M.D.)

Giselle Delgado Morales

Physician Assistant

NPI 1104469972

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 07, 2025

Registered at 5375 W 20TH AVE, HIALEAH, FL 330122101 (Tel: 3052040333)

📍
Updated Practice Location July 08, 2025

Registered at 15141 SW 42ND ST, MIAMI, FL 331853949 (Tel: 3052040333)

📍
Updated Business Mailing Address July 08, 2025

Registered at 860 NW 42ND AVE FL 5, MIAMI, FL 331264172 (Tel: 3052040333)

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2011

Registered at 1272 NW 119TH ST, MIAMI, FL 331673232 (Tel: 3056855688)

📍
Updated Business Mailing Address December 01, 2011

Registered at 1240 NW 119TH ST, MIAMI, FL 331673232 (Tel: 3056855688)

👤
Provider Name / Credentials Updated December 01, 2011

Recorded as LUIS VERDECIA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

General Practice (License #ME81400 in FL)

🟢
Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881630382
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: August 07, 2025
Sole Proprietor: Yes

Mailing Address

860 Nw 42nd Ave Fl 5

Miami, FL 331264172

Phone: 3052040333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.