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DR. MICHAEL J PLAZA M.D.
NPI 1013179423
Radiology - Diagnostic Radiology in Doral, FL

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
8375 NW 53RD ST, DORAL, FL 33166(305) 243-1815 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Plaza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J PLAZA M.D. (NPI 1013179423) is an individual diagnostic radiology provider in Doral, Florida, licensed in Florida (ME110958) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1013179423
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL J PLAZACredential: M.D.
Location Address8375 NW 53RD STDoral, FL 33166-4611
Mailing Address8375 Nw 53rd StDoral, FL 33166-4611 · (305) 243-1815
Phone(305) 243-1815
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
✔ NPI 1013179423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME110958
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8375 NW 53RD ST, Doral, FL 33166
Open in Google Maps ↗

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-6791

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Plaza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082848676
PECOS Enrollment IDI20140919000943, I20250625002978
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
398 services398 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
194 services194 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
180 services180 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
179 services179 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
147 services147 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
98 services98 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCESCA NICOLE RAFFA M.D.
Internal Medicine (Gastroenterology)
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 243-8644
MRS. BRENDA NGUYEN LIU
Physician Assistant
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 243-8644
JAVIER DANIEL LUCES
Nurse Anesthetist, Certified Registered
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 689-8375
JANET HERNANDEZ ARNP
Nurse Practitioner
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 243-8644
ELAN ESTERSON
Nurse Anesthetist, Certified Registered
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 689-8375
DR. DENNIS JAMES WARFIELD JR. M.D.
Anesthesiology
8375 NW 53RD ST
MIAMI, FL 33166
Miami-Dade County (305) 689-8375
GONZALO FERNANDO RUBIES SA
Specialist/Technologist, Other (Surgical Assistant)
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (786) 767-9080
PATRICK CUVET CRNA
Nurse Anesthetist, Certified Registered
8375 NW 53RD ST
DORAL, FL 33166
Miami-Dade County (305) 689-8375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Plaza's NPI number?

The NPI number for Michael Plaza is 1013179423. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Michael Plaza located?

Michael Plaza practices at 8375 NW 53rd St, Doral, FL 33166. The listed phone number is (305) 243-1815.

What is Michael Plaza's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Plaza enrolled in Medicare?

Yes. Michael Plaza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Plaza accept?

Health plans from CareSource and Oscar Health Maintenance Organization of Florida list Michael Plaza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Plaza affiliated with any hospitals?

According to CMS data, Michael Plaza is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Michael Plaza was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.