FARDALES MEDICAL CENTER INC
NPI 1174990915
Clinic/Center - Primary Care in Hialeah, FL
About Fardales Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARDALES MEDICAL CENTER INC (NPI 1174990915) is a healthcare organization registered as a primary care in Hialeah, Florida and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Pembroke Pines, and lists Maricela Dianexi Fardales, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fardales Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fardales Medical Center Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2145172
Fardales Medical Center · Pembroke Pines, FLCertificate of Waiver 10D2131006
Fardales Medical Center Inc · Hialeah, FLFrequently 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 Fardales Medical Center Inc's NPI number?
The NPI number for Fardales Medical Center Inc is 1174990915. It was assigned to this organization in the NPPES registry on August 27, 2015.
Where is Fardales Medical Center Inc located?
Fardales Medical Center Inc is located at 8051 W 24th Ave Ste 9, Hialeah, FL 33016. The listed phone number is (305) 400-9702.
What is Fardales Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fardales Medical Center Inc enrolled in Medicare?
Yes. Fardales Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fardales Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Fardales Medical Center Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fardales Medical Center Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Fardales Medical Center Inc accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Molina Healthcare list Fardales Medical Center Inc 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 Fardales Medical Center Inc was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fardales Medical Center Inc · NPI 1174990915
Primary Care organization in Hialeah, Florida. Organization record, active in the CMS NPPES registry since August 27, 2015.
## Identity
- **NPI:** 1174990915 (Entity type: Organization)
- **Enumerated:** August 27, 2015
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Maricela Fardales, OWNER
## Practice location
- **Address:** 8051 W 24TH AVE STE 9, Hialeah, FL 33016-5596
- **Phone:** (305) 400-9702 · **Fax:** (305) 397-2165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2021
- **Other identifiers:** Medicaid 004570500 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174990915) · Data from the CMS NPPES public registry.