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ANA JULIA FANDINO MD
NPI 1033157938
Family Medicine in Miami, FL

Active since June 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D1072448 · Waiver
10300 SW 72ND ST STE 430, MIAMI, FL 33173(786) 427-6644(786) 623-0931 Get Directions Write a Review

NPPES record last updated: December 26, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2017, Jun 27, 2017 (2 updates tracked since 2017).

About Ana Julia Fandino Md NPPES

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

ANA JULIA FANDINO MD (NPI 1033157938) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME 91994) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 15, 2027, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1033157938
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANA JULIA FANDINOCredential: MD
Location Address10300 SW 72ND ST STE 430Miami, FL 33173-3021
Mailing Address10300 Sw 72nd St Ste 430Miami, FL 33173-3021 · (786) 427-6644 · Fax (786) 623-0931
Phone(786) 427-6644
Fax(786) 623-0931
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 3, 2006
Last NPPES UpdateDecember 26, 20172 updates tracked since enumeration
✔ NPI 1033157938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 91994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10300 SW 72ND ST STE 430, Miami, FL 33173
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Other Identifiers 1

Medicaid272739100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Ana Julia Fandino Md 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 ID8325083058
PECOS Enrollment IDI20050624000206
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

2

Medicare enrollment records show Ana Fandino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ana J Fandino MD PA
3.3 mi
Family Medicine
9780 SW 24TH ST
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1639102155 (305) 551-5051
Avila Health Group LLC
7.7 mi
Mental Health (Including Community Mental Health Center)
11402 NW 41ST ST UNIT 206
Doral, FL 33178
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1518565498 (305) 373-3424

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1072448

Ana J Fandino MD PA · Miami, FL
Active · expires Aug 15, 2027
CLIA Number10D1072448
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorAna J. Fandino
Laboratory Phone(786) 427-6644
Laboratory LocationAna J Fandino MD PA10300 Sunset Drive Ste 430, Miami, FL 33173
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers12 claims12 services$192.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HANGER PROSTHETICS & ORTHOTICS INC
Prosthetic/Orthotic Supplier
10300 SW 72ND ST STE 430
MIAMI, FL 33173
Miami-Dade County (305) 595-4433

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 Ana Fandino's NPI number?

The NPI number for Ana Fandino is 1033157938. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Ana Fandino located?

Ana Fandino practices at 10300 SW 72nd St Ste 430, Miami, FL 33173. The listed phone number is (786) 427-6644.

What is Ana Fandino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ana Fandino enrolled in Medicare?

Yes. Ana Fandino 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 Ana Fandino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Fandino reassigns Medicare benefits to 2 organizations: Ana J Fandino MD PA (Miami, FL) and Avila Health Group LLC (Doral, FL). 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 Ana Fandino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Ana Fandino hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1072448) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ana Fandino accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ana Fandino 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.

When was this NPI record last updated?

The NPPES record for Ana Fandino was last updated on December 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.