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

Q: 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.

Q: What is Michael Marco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Marco was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 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: November 01, 2026.

On this page

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

Phone(412) 627-0404

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1650 SELWYN AVE, Bronx, NY 10457

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Marco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of Englewood, PC

5.2 mi

Internal Medicine

350 ENGLE ST
Englewood, NJ 07631

Reassigned Medicare billing, New Jersey enrollment
849 clinicians in this Medicare group

NPI 1952681918 (201) 608-2136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

87.26

Promoting Interoperability

100

Improvement Activities

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.

DR. MAHALINGAM SIVAKUMAR M.D.

Surgery (Vascular Surgery)

1650 SELWYN AVE, ACN MORRIS
BRONX, NY 10457

Bronx County (718) 960-1320

DR. ALEXA VILORIA D.O.

Student in an Organized Health Care Education/Training Program

1650 SELWYN AVE, SUITE 6H
BRONX, NY 10457

Bronx County (718) 960-1428

VAMSI-PHANINDRA AMANCHI MD

Internal Medicine

1650 SELWYN AVE
BRONX, NY 10457

Bronx County (917) 327-8861

DR. RINDA MOUSA MBBCH

Internal Medicine

1650 SELWYN AVE
BRONX, NY 10457

Bronx County (718) 960-1234

HENRY ROCHEL MD

Psychiatry & Neurology (Psychiatry)

1650 SELWYN AVE, 18A
BRONX, NY 10457

Bronx County (305) 766-8104

DR. ANDREW KING-KEI LAU M.D.

Anesthesiology

1650 SELWYN AVE, SUITE 11-G
BRONX, NY 10457

Bronx County (718) 466-8151

SHALU MAHBUBANI MD

Pediatrics

1650 SELWYN AVE, SUITE 6D
BRONX, NY 10457

Bronx County (718) 960-1417

KAMLA BALDEO

Social Worker

1650 SELWYN AVE, 7C
BRONX, NY 10457

Bronx County (917) 805-0703

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.

Which organization bills Medicare for Michael Marco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Marco reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). 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 Michael Marco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.