DR. MICHAEL REDA LATIF MARCO M.D.
NPI 1164863098
Colon & Rectal Surgery in Bronx, NY

Active since July 08, 2013PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
1650 SELWYN AVE, MILSTEIN 4A, BRONX, NY 10457(412) 627-0404(718) 960-1370 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Reda Latif Marco M.d. NPPES

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

DR. MICHAEL REDA LATIF MARCO M.D. (NPI 1164863098) is an individual colon & rectal surgery provider in Bronx, New York, licensed in New Jersey (25MA10593900) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164863098
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. MICHAEL REDA LATIF MARCOCredential: M.D.
Location Address1650 SELWYN AVE, MILSTEIN 4ABronx, NY 10457-7626
Mailing Address1650 Selwyn Ave, Milstein 4aBronx, NY 10457-7626 · (412) 627-0404 · Fax (718) 960-1370
Fax(718) 960-1370
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 8, 2013
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 26, 2023
NPI 1164863098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in NJ · 25MA10593900
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1650 SELWYN AVE, Bronx, NY 10457

Accepted Insurance

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. Michael Reda Latif Marco 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 ID7113395179
PECOS Enrollment IDI20221122002547
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 8

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
81 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Vascular Surgery)
1650 SELWYN AVE, ACN MORRIS
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
1650 SELWYN AVE, SUITE 6H
BRONX, NY 10457
Internal Medicine
1650 SELWYN AVE
BRONX, NY 10457
Internal Medicine
1650 SELWYN AVE
BRONX, NY 10457
Psychiatry & Neurology (Psychiatry)
1650 SELWYN AVE, 18A
BRONX, NY 10457
Anesthesiology
1650 SELWYN AVE, SUITE 11-G
BRONX, NY 10457
Pediatrics
1650 SELWYN AVE, SUITE 6D
BRONX, NY 10457
Social Worker
1650 SELWYN AVE, 7C
BRONX, NY 10457

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 Michael Marco's NPI number?

The NPI number for Michael Marco is 1164863098. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Michael Marco located?

Michael Marco practices at 1650 Selwyn Ave Milstein 4A, Bronx, NY 10457. The listed phone number is (412) 627-0404.

What is Michael Marco's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Michael Marco enrolled in Medicare?

Yes. Michael Marco 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.

What insurance does Michael Marco accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Marco 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.

Is Michael Marco affiliated with any hospitals?

According to CMS data, Michael Marco is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Marco was last updated on May 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.