LUCAS RABENO FASOLO M.D.
NPI 1154704906
Internal Medicine in Miami, FL

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
20801 NW 2ND AVE, MIAMI, FL 33169(305) 653-1770(786) 725-3453 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lucas Rabeno Fasolo M.d. NPPES

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

LUCAS RABENO FASOLO M.D. (NPI 1154704906) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME152888) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1154704906
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUCAS RABENO FASOLOCredential: M.D.
Location Address20801 NW 2ND AVEMiami, FL 33169-2103
Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 653-1770 · Fax (786) 725-3453
Fax(786) 725-3453
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 29, 2015
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1154704906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in FL · ME152888 Licensed in MA · 264115 Licensed in MA · 277164
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.

20801 NW 2ND AVE, Miami, FL 33169

Secondary Practice Locations 2

Location 1495 Western AveBrighton, MA 02135-1007 · Phone (617) 783-0500
Location 2115 Lincoln StFramingham, MA 01702-6358 · Phone (508) 383-1000

Other Identifiers 1

Medicaid237221597MA

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

Lucas Rabeno Fasolo 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 ID7113269804
PECOS Enrollment IDI20210923000668
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers15 claims43 services$4.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims13 services$0.73 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 17

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

Internal Medicine
20801 NW 2ND AVE
MIAMI, FL 33169
Specialist
20801 NW 2ND AVE
MIAMI, FL 33169
Internal Medicine (Cardiovascular Disease)
20801 NW 2ND AVE
MIAMI, FL 33169
Nurse Practitioner (Family)
20801 NW 2ND AVE
MIAMI, FL 33169
Behavior Technician
20801 NW 2ND AVE
MIAMI, FL 33169
Social Worker
20801 NW 2ND AVE, CHEN MEDICAL COUNTY LINE
MIAMI, FL 33169
Internal Medicine
20801 NW 2ND AVE
MIAMI, FL 33169
Family Medicine
20801 NW 2ND AVE
MIAMI GARDENS, FL 33169

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 Lucas Rabeno Fasolo's NPI number?

The NPI number for Lucas Rabeno Fasolo is 1154704906. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Lucas Rabeno Fasolo located?

Lucas Rabeno Fasolo practices at 20801 NW 2nd Ave, Miami, FL 33169. The listed phone number is (305) 653-1770.

What is Lucas Rabeno Fasolo's specialty?

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

Is Lucas Rabeno Fasolo enrolled in Medicare?

Yes. Lucas Rabeno Fasolo 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.

When was this NPI record last updated?

The NPPES record for Lucas Rabeno Fasolo was last updated on October 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.