Dr. Sergio San Jose, DO

  • Hialeah, FL
  • Infectious disease specialist
NPI1023307832PAC ID8820389976
Medicare services, 2024
1,065
Medicare patients, 2024
266
Part D claims, 2023
17
Hospital affiliations
1
Industry payments
$2,533
Practice address
2001 W 68th St, Hialeah, FL 33016
Practice phone
Call (305) 823-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Palmetto General Hospital

Hospital · Hialeah, Florida

See all 3 affiliations

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Dr. Sergio San Jose is an infectious disease specialist in Hialeah, Florida

Dr. San Jose practices at Palmetto General Hospital in Hialeah, Florida, part of Healthcare Systems of America.

Dr. San Jose's NPI, 1023307832, was assigned on April 1, 2011. Dr. San Jose graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 2011. Dr. San Jose holds Florida license OS12497.

NPI and contact details
Medicare PAC ID
8820389976
NPI enumeration date
April 1, 2011
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(305) 823-5000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
41
Medical school graduation
2011

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sergio San Jose practices at Palmetto General Hospital in Hialeah, Florida

Dr. San Jose's primary practice is Palmetto General Hospital, at 2001 W 68th St, Hialeah, FL 33016 in Miami-Dade County. The practice phone is (305) 823-5000.

Source: Dmand AI Affiliation Data

Dr. Sergio San Jose is affiliated with 2 sites of care and 1 medical group

Dr. San Jose's primary practice is Palmetto General Hospital in Hialeah, Florida, part of Healthcare Systems of America. The medical group on file is SJI Medical, P.A. Dmand AI also links Dr. San Jose to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. San Jose

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sergio San Jose's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. San Jose practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Palmetto General HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sergio San Jose is one of 692 infectious disease specialists in Florida

Infectious disease is Dr. San Jose's primary specialty in the NPI Registry, under taxonomy code 207RI0200X. Dr. San Jose is board certified in infectious disease by the AOA Board of Internal Medicine. Dr. San Jose is licensed in Florida.

Specialties and state licenses

  • Infectious disease, FloridaPrimaryLicense OS12497 · taxonomy 207RI0200X

Infectious disease specialists near Dr. San Jose

Counts of infectious disease specialists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sergio San Jose billed Medicare for 1,065 services in 2024

CMS data shows 1,065 Medicare services from Dr. San Jose across 4 procedure codes in 2024, for 266 Medicare patients. Medicare paid $82,262 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 20241,065
Medicare patients266
Paid by Medicare$82,262
Procedure codes4

Dr. San Jose's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,2212024: 1,06513%

Dr. San Jose compared with the Florida median for infectious disease specialists, 2024

  • Dr. San Jose
  • Florida median
Medicare services
1,065vs 90518% above
Medicare patients
266vs 29510% below
Part D claims
17vs 24493% below

Medians across 664 infectious disease specialists in Florida with Dmand AI profiles that report each measure.

Dr. San Jose's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. San Jose

Need commercial claims for Dr. San Jose?

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sergio San Jose treated 266 Medicare patients in 2024, average age 79

CMS counts 266 Medicare patients who saw Dr. San Jose in 2024. The largest group is 75 to 84, with 95 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 87% are also on Medicaid. Their average risk score is 4.16, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. San Jose's median patient age at 78, with 44% women.

Medicare patients, 2024266
Average age79
Average risk score4.16
Also on Medicaid87%

Dr. San Jose's Medicare patients by age, 2024

Dr. San Jose's Medicare patients by sex, 2024

  • Women14755%
  • Men11945%

Chronic conditions among Dr. San Jose's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes65%
  4. Heart failure62%
  5. Ischemic heart disease61%
  6. Alzheimer's and dementia60%
  7. Chronic kidney disease58%
  8. Mood disorders56%

Share of Medicare patients with each condition. A patient can have several.

Dr. San Jose's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 78

Patient panel by sex, all payers

  • Women44%
  • Men55%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sergio San Jose wrote 17 Medicare Part D claims in 2023

In 2023, Dr. San Jose wrote 17 Medicare Part D claims. Every claim was for a generic drug. They cover 1 drug, with $30,068 in total drug cost. In 2022, CMS named 12 claims across 1 drug.

Part D claims, 202317
Drugs named by CMS1
Total drug cost$30,068

Dr. San Jose's most prescribed drugs by claims, 2023

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2022 to 2023

  • 2022
  • 2023
Claims for drugs CMS names
2022: 122023: 1742%

Drugs named by CMS: 1 in 2023, 1 in 2022.

See all prescribing by Dr. San Jose

Source: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026

How Dr. Sergio San Jose takes part in Medicare

Dr. San Jose accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Sergio San Jose received $2,533 in industry payments from 2016 to 2025

CMS Open Payments shows 101 general payments to Dr. San Jose from 6 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 93% of the total. Allergan Inc. paid the most, $1,455.

General payments to Dr. San Jose by program year, 2016 to 2025

General payments to Dr. San Jose by kind, 2016 to 2025

$2.5Kin total
  • Food and beverage$2,36593%
  • Education$1687%

Companies that paid Dr. San Jose the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. San Jose

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sergio San Jose graduated from Dr. Kiran C. Patel College of Osteopathic Medicine

Dr. San Jose graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 2011.

  1. Medical schoolDr. Kiran C. Patel College of Osteopathic Medicine
  2. Board certified in infectious diseaseAOA Board of Internal Medicine
  3. Board certified in internal medicineAOA Board of Internal Medicine
  4. Board certified in 2014 - 2026FL State License

Source: Dmand AI Professional Profile Data

Dr. Sergio San Jose accepts plans from 2 insurance carriers

Dr. San Jose is in network with 2 carriers, including United Healthcare and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

  • United Healthcare
  • CMS Medicare

Plan types Dr. San Jose accepts, by number of carriers

  1. Medicare2
  2. HMO1
  3. POS1
  4. PPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Sergio San Jose's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sergio San Jose

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sergio San Jose's NPI number?

Dr. Sergio San Jose's NPI number is 1023307832. It was assigned on April 1, 2011, and it is active in the NPI Registry.

What kind of doctor is Dr. Sergio San Jose?

Dr. Sergio San Jose is an infectious disease specialist in Hialeah, Florida. The primary specialty in the NPI Registry is Infectious Disease Physician (taxonomy code 207RI0200X).

Where does Dr. Sergio San Jose practice?

Dr. San Jose practices at 2001 W 68th St, Hialeah, FL 33016. Dr. San Jose's primary practice is Palmetto General Hospital in Hialeah, Florida, part of Healthcare Systems of America. Dmand AI also links Dr. San Jose to 1 group practice or clinic.

What is Dr. Sergio San Jose's office phone number?

The practice phone on file for Dr. San Jose is (305) 823-5000.

What is Dr. Sergio San Jose's medical license number?

Dr. San Jose holds Florida license OS12497.

Which hospitals is Dr. Sergio San Jose affiliated with?

Dr. San Jose practices at Palmetto General Hospital in Hialeah, Florida.

What medical group is Dr. Sergio San Jose part of?

Dr. San Jose is linked to SJI Medical, P.A.

Does Dr. Sergio San Jose accept Medicare?

Yes. CMS data shows Dr. San Jose billed Medicare for 1,065 services in 2024, and Dr. San Jose accepts Medicare assignment.

How many Medicare patients does Dr. Sergio San Jose see?

CMS counts 266 Medicare patients who saw Dr. San Jose in 2024, with an average age of 79.

Is Dr. Sergio San Jose board certified?

Yes. Dr. San Jose is board certified in infectious disease by the AOA Board of Internal Medicine.

Show 6 more questionsShow fewer questions

What services does Dr. Sergio San Jose bill to Medicare?

In 2024, Dr. San Jose's most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99222) and hospital inpatient care (99233).

Where did Dr. Sergio San Jose go to medical school?

Dr. San Jose graduated from Dr. Kiran C. Patel College of Osteopathic Medicine in 2011.

What drugs does Dr. Sergio San Jose prescribe most?

In 2023 Medicare Part D data, Dr. San Jose's most prescribed drugs by claims were Daptomycin.

Has Dr. Sergio San Jose received payments from drug or device companies?

CMS Open Payments shows $2,533 in general payments to Dr. San Jose from 6 companies from 2016 to 2025. The largest total came from Allergan Inc.

How long has Dr. Sergio San Jose been practicing?

Dr. San Jose graduated from medical school in 2011, 15 years ago.

What insurance does Dr. Sergio San Jose accept?

Dr. San Jose is in network with 2 carriers, including United Healthcare and CMS Medicare. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

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