DR. MARIANO R FIALLOS MD
NPI 1154498772
Pediatrics in Tampa, FL

Q: What is Mariano Fiallos's NPI number?

The NPI number for Mariano Fiallos is 1154498772. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Mariano Fiallos's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mariano Fiallos was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 29, 2006PECOS Enrolled

3100 E FLETCHER AVE, TAMPA, FL 33613(813) 467-4242(813) 467-4243 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2021, May 11, 2016 (2 updates tracked since 2016).

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About Dr. Mariano R Fiallos Md NPPES

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

DR. MARIANO R FIALLOS MD (NPI 1154498772) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (ME61885) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154498772

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MARIANO R FIALLOSCredential: MD

Location Address3100 E FLETCHER AVETampa, FL 33613-4613

Mailing Address3100 E Fletcher AveTampa, FL 33613-4613 · (813) 467-4242 · Fax (813) 467-4243

Phone(813) 467-4242

Fax(813) 467-4243

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2021

✔ NPI 1154498772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME61885

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License ME0061885 (FL)

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License ME0061885 (FL)

Also ListedHospitalistTaxonomy 208M00000X · License ME0061885 (FL)

3100 E FLETCHER AVE, Tampa, FL 33613

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Other Identifiers 4

OtherF09310FL · Upin

Other43953FL · Blue Cross

Other11314867FL · Caqh

Medicaid254343500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mariano R Fiallos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mariano Fiallos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Hospital Medical Group Inc

72 mi

Family Medicine

1115 E RIDGEWOOD ST
Orlando, FL 32803

Reassigned Medicare billing, Florida enrollment
3,005 clinicians in this Medicare group

NPI 1225034234 (407) 841-1100

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 33613 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

ELEANOR INNOCENT DPT

Physical Therapist