RAFAEL CRESPO (M.D.) – Internal Medicine Physician, NPI 1104866235

RAFAEL CRESPO (M.D.) is a healthcare provider. based in Miami, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0054181 (FL). The NPI Number for RAFAEL CRESPO (M.D.) is 1104866235

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
RAFAEL CRESPO (M.D.)
NPI
1104866235
Phone
(305) 854-7968
Address
456 SW 8TH ST
Enumeration Date
7 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6095851122
Graduation Year
1981 (45 years ago)
PAC ID
6406040740
Group Practice PAC ID
0547626871
Professional Enrollment ID
I20101101001014
Address ID
FL330607748PO830XXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for RAFAEL CRESPO (M.D.)

  • 456, Southwest 8th Street, Miami, Miami-Dade County, Florida, 33130, United States

    MIAMI, FL 331302814

    Phone: (305) 854-7968

    Fax: (305) 858-9799

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $570.

Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($181).

Total Amount

$570

General + Research + Ownership

Payments

26

Total payment records

General Amount

$570

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101101001014IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes56084$0
36415Insertion of needle into vein for collection of blood sample7248$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4741$0
View full utilization report →

Insurance plans in this area (ZIP 33130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547626871View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineFL
Internal MedicineIL
Family Practice, Emergency MedicineNY
Undersea And Hyperbaric Medicine, Internal MedicineFL
Internal MedicineNY
Internal MedicineFL
Internal MedicineFL
Internal MedicinePA
Internal MedicineFL
Internal MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for RAFAEL CRESPO (M.D.)?
Save NPI 1104866235 if you need a stable reference for RAFAEL CRESPO (M.D.).
Is RAFAEL CRESPO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RAFAEL CRESPO (M.D.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for RAFAEL CRESPO (M.D.). Clinical services aligned with this taxonomy classification.
Does RAFAEL CRESPO (M.D.) practice in Florida?
You will see Miami, Florida on file for RAFAEL CRESPO (M.D.) alongside any extra practice locations.
How can I contact RAFAEL CRESPO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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