JOSE MANUEL SANCHEZ (M.D.) – Gastroenterology Physician, NPI 1942258355
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,474 GASTROENTEROLOGY in FL
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Provider Addresses for JOSE MANUEL SANCHEZ (M.D.)
PO BOX 565811
MIAMI, FL 332565811
Phone: (305) 964-7392
Fax: (305) 726-0016
Type: Mailing
475, Biltmore Way, Coral Gables, Miami-Dade County, Florida, 33134, United States
STE 204
CORAL GABLES, FL 331345736
Phone: (305) 964-7392
Fax: (305) 726-0016
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,661.
Total Amount is formed as General ($1,661) + Research ($0) + Ownership ($0) = $1,661.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: QOL Medical, LLC ($726).
Total Amount
$1,661
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,661
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| QOL Medical, LLC | $726 |
| Braintree Laboratories, Inc. | $471 |
| ABBVIE INC. | $176 |
| Ardelyx, Inc. | $110 |
| Phathom Pharmaceuticals, Inc. | $52 |
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: 2005-08-15
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 |
|---|---|---|---|---|
| I20050815000246 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 731 | 78 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 66 | 64 | $0 |
| 43246 | Insertion of stomach tube using a flexible endoscope | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 27 | 27 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 33256)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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