Active NPI 1366467458 Individual Practitioner Male Practitioner

Dr. Julio Cesar Rosales , MD

General Practice • Miami, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Julio Rosales, MD is a certified General Practice practicing in Miami, FL. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Rosales delivers high-quality medical care to the local community at 11880 SW 40TH ST.

Dr. Rosales is affiliated with Hammock Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein, patient 3 years or older, annual wellness visit; includes a personalized prevention plan of service (pps), initial visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11880 Sw 40th St
Suite 120

Miami, FL 331753584

Telephone 3052257330

Fax 3052257314

Associated Practice Facility / Clinic

🏢 Tower Group Medical Services Facility NPI 1164473724

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Miami, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +9.9 yrs vs City Avg

City Avg: 36.1 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

333 Specialists

Practicing in Miami, FL (2490 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rosales (46 Years) 46 Yrs

Miami Specialty Average (36.1 Years) 36.1 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	101	33	$130.00	$95.47
36410 Insertion of needle into vein, patient 3 years or older	13	12	$22.31	$10.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	37	$124.70	$95.92
36410 Insertion of needle into vein, patient 3 years or older	15	11	$5.00	$4.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$238.18	$174.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	40	$110.82	$97.51
36410 Insertion of needle into vein, patient 3 years or older	18	13	$5.00	$4.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$250.00	$177.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	58	$110.41	$99.85
36410 Insertion of needle into vein, patient 3 years or older	41	31	$9.76	$6.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$126.54	$127.08
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$55.77	$16.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	138	56	$110.58	$82.32
36410 Insertion of needle into vein, patient 3 years or older	29	24	$5.00	$5.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	65	$110.39	$79.48
36410 Insertion of needle into vein, patient 3 years or older	50	37	$4.92	$4.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	23	$133.43	$115.70
71047 X-ray of chest, 3 views	15	14	$70.00	$41.91
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$54.62	$18.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	74	$108.78	$75.76
36410 Insertion of needle into vein, patient 3 years or older	84	58	$4.99	$4.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	18	$132.90	$111.33
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$54.09	$17.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$206.56	$174.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	337	96	$111.44	$72.96
36415 Insertion of needle into vein for collection of blood sample	69	50	$5.65	$2.94
36410 Insertion of needle into vein, patient 3 years or older	43	35	$5.00	$4.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	14	$134.48	$110.69
93000 Routine ekg using at least 12 leads including interpretation and report	20	16	$63.00	$17.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$253.61	$168.02
71020 X-ray of chest, 2 views, front and side	18	15	$70.00	$27.67

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL 71847

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

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License FL 71847

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

252691300 (FL)

Medicaid State Provider ID

252691301 (FL)

Medicaid State Provider ID

252691302 (FL)

Hospital & Practice Group Affiliations

Hammock Medical Center Inc

15122 Sw 72nd St, Miami, FL 331933228

Phone: 3053833848

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Martha Rosa Estrada-Guevara , MD

Pediatrics

NPI 1063550077

Doctor of Medicine (M.D.)

Dr. Jorge De La Portilla , MD

Specialist

NPI 1194704551

Doctor of Medicine (M.D.)

Dr. Nelson Herrero , MD

General Practice

NPI 1215942461

Doctor of Medicine (M.D.)

Dr. Oscar Pozo , MD

Psychiatry & Neurology - Psychiatry

NPI 1346238805

Doctor of Medicine (M.D.)

Dr. Manuel Lovo , MD

Pediatrics

NPI 1346262169

Doctor of Medicine (M.D.)

Dr. Juan Lombillo , MD

Surgery

NPI 1457445959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 08, 2013

Registered at 11880 SW 40TH ST, SUITE 120, MIAMI, FL 331753584 (Tel: 3052257330)

📍

Updated Business Mailing Address October 08, 2013

Registered at 11880 SW 40TH ST, SUITE 120, MIAMI, FL 331753584 (Tel: 3052257330)

👤

Provider Name / Credentials Updated October 08, 2013

Recorded as JULIO ROSALES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2013

Family Medicine (License #71847 in FL)

🟢

Initial NPI Registration & Enumeration July 12, 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: 1366467458

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2006

Last Update: October 08, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

11880 Sw 40th St, Suite 120

Miami, FL 331753584

Phone: 3052257330

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.