RAFAEL ABREU (M.D) – Family Medicine Physician, NPI 1265769822
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for RAFAEL ABREU (M.D)
1490 W 49TH PL STE 204
HIALEAH, FL 330123149
Phone: (305) 392-0380
Fax: (305) 603-9683
Type: Mailing
West 49th Place, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330123158
Phone: (305) 392-0380
Fax: (305) 603-9683
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,406.
Total Amount is formed as General ($1,106) + Research ($300) + Ownership ($0) = $1,406.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Eli Lilly and Company ($300).
Total Amount
$1,406
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,106
General payments
Research Amount
$300
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Eli Lilly and Company | $300 |
| UCB, Inc. | $234 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $145 |
| Penumbra, Inc. | $144 |
| Otsuka America Pharmaceutical, Inc. | $129 |
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: 2012-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120110000698 | I | Family Practice | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,245 | 157 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 867 | 224 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 683 | 254 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 436 | 145 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 419 | 349 | $0 |
Insurance plans in this area (ZIP 33012)
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