Joseph P Gjolaj, MD - Medicare Orthopedic Surgery in Miami, FL

Joseph P Gjolaj, MD is a medicare enrolled "Orthopaedic Surgery" physician in Miami, Florida. He went to George Washington University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice University Of Miami and his current practice location is 1475 Nw 12th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 243-3000.

Joseph P Gjolaj is licensed to practice in Florida (license number ME116568) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578609137.

Contact Information

Joseph P Gjolaj, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002
(305) 243-3000
(305) 243-7658

Map and Direction




Physician's Profile

Full NameJoseph P Gjolaj
GenderMale
SpecialityOrthopedic Surgery
Experience18 Years
Location1475 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joseph P Gjolaj attended and graduated from George Washington University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1578609137
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 04/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6800048505
  • Enrollment ID: I20130912000643

Medical Identifiers

Medical identifiers for Joseph P Gjolaj such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578609137NPI-NPPES
0095758-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery ME116568 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson Health SystemMiami, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Miami32747951091781

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joseph P Gjolaj allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Miami
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph P Gjolaj is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joseph P Gjolaj, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002

Ph: (305) 243-3000
Joseph P Gjolaj, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002

Ph: (305) 243-3000

Reviews and Comments


Orthopaedic Surgery Doctors in Miami, FL

Ryan Anthony Durfee, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
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Phone: 305-285-5025    Fax: 305-285-5026
Dr. Georgiy Vladimirovich Brusovanik, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4770 Biscayne Blvd Ste 1100, Miami, FL 33137
Phone: 305-467-5678    Fax: 305-821-6782
Dr. Paul Henrys, M.D.
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Medicare: Medicare Enrolled
Practice Location: 100 Nw 170th, Suite 100, Miami, FL 33169
Phone: 305-654-3000    Fax: 305-654-3000
Dr. Mark D Brown, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1475 Nw 12th Ave, Miami, FL 33101
Phone: 305-243-7688    Fax: 305-243-8470
Kevin Horowitz, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155
Phone: 305-666-6511    
Dr. Charles Edward Hoffler Ii, MD PHD
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Medicare: Accepting Medicare Assignments
Practice Location: 8905 Sw 87th Ave, Suite 100, Miami, FL 33176
Phone: 305-667-8686    
Mr. Harry Shufflebarger, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Sw 62nd Ave, Orthopaedic Dept, Miami, FL 33155
Phone: 305-662-8366    Fax: 305-663-9194

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.