LUIS M BARCENA BLANCH M.D.
NPI 1144484346
Internal Medicine - Infectious Disease in Margate, FL

Q: What is Luis Barcena Blanch's NPI number?

The NPI number for Luis Barcena Blanch is 1144484346. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Luis Barcena Blanch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment

2825 N STATE ROAD 7 STE 305, MARGATE, FL 33063(954) 366-4910(754) 205-7987 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Mar 17, 2018, Jan 18, 2018 (3 updates tracked since 2018).

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About Luis M Barcena Blanch M.d. NPPES

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

LUIS M BARCENA BLANCH M.D. (NPI 1144484346) is an individual infectious disease provider in Margate, Florida, licensed in Florida (ME134030) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144484346

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameLUIS M BARCENA BLANCHCredential: M.D.

Location Address2825 N STATE ROAD 7 STE 305Margate, FL 33063-5737

Mailing Address2825 N State Road 7 Ste 305Margate, FL 33063-5737 · (954) 366-4910 · Fax (754) 205-7987

Phone(954) 366-4910

Fax(754) 205-7987

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 16, 2008

Last NPPES UpdateOctober 9, 20193 updates tracked since enumeration

✔ NPI 1144484346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in FL · ME134030

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME134030 (FL)

2825 N STATE ROAD 7 STE 305, Margate, FL 33063

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Secondary Practice Locations 2

Location 11501 Middleford RdSeaford, DE 19973-3615 · Phone (302) 629-4569 · Fax (302) 628-4669

Location 21222 N University DrPlantation, FL 33322-4724 · Phone (954) 581-3100 · Fax (954) 581-7773

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.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

Luis M Barcena Blanch 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 ID9335369883

PECOS Enrollment IDI20180709000807

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

722 services258 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

461 services226 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

231 services205 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 patients

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.

32 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100029

Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County

Emergency services Birthing friendly

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100039

Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County

Emergency services Birthing friendly

Broward Health North

Acute Care Hospitals · Pompano Beach, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100086

Location201 E Sample RdPompano Beach, FL 33064 · Broward County

Emergency services

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100189

Location2801 N State Rd 7Margate, FL 33063 · Broward County

Emergency services Birthing friendly

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33063 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Other Providers at the Same Location NPPES 8

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

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