DR. MIRO LATI D.O.
NPI 1154776367
Family Medicine in Staten Island, NY

Active since April 26, 2016PECOS EnrolledAccepts Medicare Assignment
1432 HYLAN BLVD, STATEN ISLAND, NY 10305(718) 238-6161(718) 238-6194 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Dec 24, 2024, Feb 28, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Miro Lati D.o. NPPES

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

DR. MIRO LATI D.O. (NPI 1154776367) is an individual family medicine provider in Staten Island, New York, licensed in New York (284309) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154776367
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIRO LATICredential: D.O.
Location Address1432 HYLAN BLVDStaten Island, NY 10305-1923
Mailing Address6903 4th AveBrooklyn, NY 11209-1509 · (718) 238-6161
Fax(718) 238-6194
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 26, 2016
Last NPPES UpdateAugust 28, 20254 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1154776367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 284309
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1432 HYLAN BLVD, Staten Island, NY 10305

Secondary Practice Location 1

Location 16903 4th AveBrooklyn, NY 11209-1509 · Phone (718) 238-6161

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

Dr. Miro Lati D.o. 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 ID8628364544
PECOS Enrollment IDI20160901000612
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
149 services34 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 22

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.53 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$9.37 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims359 services$29.96 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims582 services$7.13 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier37 claims529 services$9.38 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier22 claims712 services$0.92 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 8

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

Physical Therapist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305
Dentist
1432 HYLAN BLVD, 2ND FLOOR
STATEN ISLAND, NY 10305
Physical Therapist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305
Specialist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305
Specialist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305
General Practice
1432 HYLAN BLVD, 2ND FLOOR
STATEN ISLAND, NY 10305
Physical Therapist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305
Physical Therapist
1432 HYLAN BLVD
STATEN ISLAND, NY 10305

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 Miro Lati's NPI number?

The NPI number for Miro Lati is 1154776367. It was assigned to this individual provider in the NPPES registry on April 26, 2016.

Where is Miro Lati located?

Miro Lati practices at 1432 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (718) 238-6161.

What is Miro Lati's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miro Lati enrolled in Medicare?

Yes. Miro Lati 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 Miro Lati was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.