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

Q: 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.

Q: What is Michael Plaza's specialty?

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

Q: 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 23 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.

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: October 18, 2026.

On this page

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

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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 22 Health, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Plaza reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Miami

7.6 mi

Advanced Heart Failure and Transplant Cardiology

1321 NW 14TH ST STE 510
Miami, FL 33125

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1831799055 (305) 243-5554

Vitalmd Group Holding LLC

8.6 mi

Obstetrics & Gynecology

3225 AVIATION AVE, SUITE #700
Miami, FL 33133

Reassigned Medicare billing, Florida enrollment
716 clinicians in this Medicare group

NPI 1871572032 (305) 273-4641

Alfa Diagnostic LLC

16 mi

Radiology

21355 E DIXIE HWY STE 101
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1073052338 (305) 705-4775

Hampton Roads Radiology Associates, PC

799 mi

Diagnostic Radiology

582 LYNNHAVEN PKWY STE 301
Virginia Beach, VA 23452

Reassigned Medicare billing, Virginia enrollment
54 clinicians in this Medicare group

NPI 1174533624 (757) 916-9631

Radiology Alliance PC

808 mi

Diagnostic Radiology

210 25TH AVE N STE 602
Nashville, TN 37203

Reassigned Medicare billing, Florida enrollment
89 clinicians in this Medicare group

NPI 1861478489 (615) 312-0600

Pikeville Medical Center, Inc.

816 mi

Multi-Specialty

911 BYPASS RD BLDG A
Pikeville, KY 41501

Reassigned Medicare billing, Florida enrollment
24 clinicians in this Medicare group

NPI 1245017144 (606) 430-3500

Imaging Associates Of Indiana, PC

1,028 mi

Diagnostic Radiology

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, Florida enrollment
69 clinicians in this Medicare group

NPI 1699072611 (219) 767-6320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

180 services180 patients

Screening mammography 77067

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

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

78 services78 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

72 services71 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

58 services58 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

27 services27 patients

Dxa bone density measurement of hip, pelvis, spine 77080

27 services27 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

18 services18 patients

Limited ultrasound scan of 1 breast 76642

17 services17 patients

Complete ultrasound scan of 1 breast 76641

16 services16 patients

Diagnostic mammography of both breasts 77066

15 services15 patients

Diagnostic mammography of 1 breast 77065

13 services13 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.

Which organizations bill Medicare for Michael Plaza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Plaza reassigns Medicare benefits to 7 organizations: University Of Miami (Miami, FL), Vitalmd Group Holding LLC (Miami, FL), Alfa Diagnostic LLC (Aventura, FL), Hampton Roads Radiology Associates, PC (Virginia Beach, VA), Radiology Alliance PC (Nashville, TN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Plaza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Plaza accept?

Health plans from 22 Health, CareSource, Cigna Healthcare 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 23 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.