DR. MARIO ENRIQUE TANO MD
NPI 1174510341
Pediatrics - Pediatric Gastroenterology in Hollywood, FL

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
3800 JOHNSON ST STE J, HOLLYWOOD, FL 33021(954) 967-9400(954) 967-9551 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2022, Sep 25, 2019 (2 updates tracked since 2019).

About Dr. Mario Enrique Tano Md NPPES

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

DR. MARIO ENRIQUE TANO MD (NPI 1174510341) is an individual pediatric gastroenterology provider in Hollywood, Florida, licensed in Florida (ME58352) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hialeah, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1174510341
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MARIO ENRIQUE TANOCredential: MD
Location Address3800 JOHNSON ST STE JHollywood, FL 33021-6030
Mailing Address5955 Ponce De Leon Blvd.Coral Gables, FL 33146 · (305) 661-1515 · Fax (305) 662-3723
Fax(954) 967-9551
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 4, 2005
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1174510341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in FL · ME58352
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3800 JOHNSON ST STE J, Hollywood, FL 33021

Secondary Practice Location 1

Location 17100 W 20th Ave Ste 616Hialeah, FL 33016-1814 · Phone (305) 556-4263

Other Identifiers 1

Medicaid064237100FL

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. Mario Enrique Tano Md 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 ID7315125259
PECOS Enrollment IDI20110627000751
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 33021 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 3

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

Pediatrics (Pediatric Gastroenterology)
3800 JOHNSON ST STE J
HOLLYWOOD, FL 33021
Pediatrics (Pediatric Gastroenterology)
3800 JOHNSON ST STE J
HOLLYWOOD, FL 33021
Physician Assistant
3800 JOHNSON ST STE J
HOLLYWOOD, FL 33021

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 Mario Tano's NPI number?

The NPI number for Mario Tano is 1174510341. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Mario Tano located?

Mario Tano practices at 3800 Johnson St Ste J, Hollywood, FL 33021. The listed phone number is (954) 967-9400.

What is Mario Tano's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mario Tano enrolled in Medicare?

Yes. Mario Tano 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 Mario Tano accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 4 other insurers list Mario Tano 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 Mario Tano was last updated on February 8, 2022. 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.