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

Q: 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.

Q: What is Lucas Rabeno Fasolo's specialty?

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

Active since June 29, 2015PECOS Enrolled

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: October 18, 2026.

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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 and maintains 2 additional practice locations.

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

Phone(305) 653-1770

Fax(786) 725-3453

Sole ProprietorYes

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

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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

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).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucas Rabeno Fasolo M.d. 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 Lucas Rabeno Fasolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chen Neighborhood Medical Centers Of South Florida, LLC

3.0 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Florida enrollment
221 clinicians in this Medicare group

NPI 1881024800 (305) 628-6117

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 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 16

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

DR. MICHAEL JOSEPH M.D.

Internal Medicine

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

CHEN MEDICAL 441, INC

Specialist

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

LUIS FRANCISCO HIDALGO PONCE MD

Internal Medicine (Cardiovascular Disease)

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

GENET LAO LOO ARNP

Nurse Practitioner (Family)

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

MARBELYS ESQUIJAROSA

Behavior Technician

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

SANDRA JANET RAMIREZ MSW

Social Worker

20801 NW 2ND AVE, CHEN MEDICAL COUNTY LINE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

DIEGO M RODRIGUEZ MD

Internal Medicine

20801 NW 2ND AVE
MIAMI, FL 33169

Miami-Dade County (305) 653-1770

ARIADNA MARIA DELVASTO MD

Family Medicine

20801 NW 2ND AVE
MIAMI GARDENS, FL 33169

Miami-Dade County (305) 653-1770

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 enrollment system.

Which organization bills Medicare for Lucas Rabeno Fasolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Rabeno Fasolo reassigns Medicare benefits to Chen Neighborhood Medical Centers Of South Florida, LLC (Miami Gardens, FL). 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 Lucas Rabeno Fasolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Rabeno Fasolo accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lucas Rabeno Fasolo 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 Lucas Rabeno Fasolo was last updated on October 29, 2021. 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.