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DR. ADARSH THOMAS ANTHONY MD
NPI 1154053692
Internal Medicine in South Miami, FL

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143(305) 284-7500 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Adarsh Thomas Anthony Md NPPES

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

DR. ADARSH THOMAS ANTHONY MD (NPI 1154053692) is an individual internal medicine provider in South Miami, Florida, licensed in Florida (36127) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154053692
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADARSH THOMAS ANTHONYCredential: MD
Location Address7031 SW 62ND AVESouth Miami, FL 33143-4701
Mailing Address6175 Sw 64th TerSouth Miami, FL 33143-3408 · (786) 365-7394
Phone(305) 284-7500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 24, 2022
NPPES CertifiedJune 24, 2022
✔ NPI 1154053692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · 36127
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7031 SW 62ND AVE, South Miami, FL 33143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.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. Adarsh Thomas Anthony 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 ID1759896939
PECOS Enrollment IDI20250716001294
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 Reassignment

Medicare enrollment records show Adarsh Anthony reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apogee Medical Group Inc
1,976 mi
Internal Medicine
2525 E CAMELBACK RD, #1100
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group
NPI 1205883725 (602) 778-3600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

DANIEL SHLYAK MD
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
JORGE ENRIQUE EVORA MD
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7500
ARIANA INES LOPEZ NAVARRETE MD
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7500
JOSE CARLOS CABRERA SAAVEDRA MD
General Practice
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
DR. ALEXANDER SEGUI ULLOA DDS
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
DAVID NICHOLAS PALMER MD
Student in an Organized Health Care Education/Training Program
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
DR. NATALIA ESCUTI MD
Family Medicine
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
DR. CODY MICHAEL BROWN DO
Orthopaedic Surgery
7031 SW 62ND AVE
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761

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 Adarsh Anthony's NPI number?

The NPI number for Adarsh Anthony is 1154053692. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Adarsh Anthony located?

Adarsh Anthony practices at 7031 SW 62nd Ave, South Miami, FL 33143. The listed phone number is (305) 284-7500.

What is Adarsh Anthony's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adarsh Anthony enrolled in Medicare?

Yes. Adarsh Anthony 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 organization bills Medicare for Adarsh Anthony's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adarsh Anthony reassigns Medicare benefits to Apogee Medical Group Inc (Phoenix, AZ). The 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 Adarsh Anthony's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adarsh Anthony accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Adarsh Anthony 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 Adarsh Anthony was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.