1. Home
  2. Directory
  3. Florida
  4. Hialeah
  5. General Practice
  6. NPI Profile

MR. JULIAN MARQUEZ MD
NPI 1184675647
General Practice in Hialeah, FL

Active since May 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0966576 · Waiver
2140 W 68TH ST, SUITE 401-A, HIALEAH, FL 33016(305) 827-9939(305) 827-9918 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Julian Marquez Md NPPES

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

MR. JULIAN MARQUEZ MD (NPI 1184675647) is an individual general practice provider in Hialeah, Florida, licensed in Florida (ME0056854) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 19, 2027, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1184675647
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JULIAN MARQUEZCredential: MD
Location Address2140 W 68TH ST, SUITE 401-AHialeah, FL 33016-1815
Mailing Address2140 W 68th St, Suite 401-aHialeah, FL 33016-1815 · (305) 827-9939 · Fax (305) 827-9918
Phone(305) 827-9939
Fax(305) 827-9918
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 9, 2013
✔ NPI 1184675647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME0056854
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2140 W 68TH ST, Hialeah, FL 33016
Open in Google Maps ↗

Other Identifiers 3

Other09635XFL · Medicare Ptan
Medicaid061833100FL
Medicare UPINE75862FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Mr. Julian Marquez 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 ID2668481854
PECOS Enrollment IDI20060823000180
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.

CLIA Laboratory Certificates CMS CLIA

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 10D0966576

Julian Marquez MD PA · Hialeah, FL
Active · expires Oct 19, 2027
CLIA Number10D0966576
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorJulian Marquez
Laboratory Phone(305) 827-9939
Laboratory LocationJulian Marquez MD PA2140 W 68th St Ste 401A, Hialeah, FL 33016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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 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.
374 services76 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.
54 services54 patients

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
15%827 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%849 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
93%241 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
42%4,331 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,640 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
26%449 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%993 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%383 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%1,761 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
27%993 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers25 claims83 services$7.09 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers19 claims19 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims38 services$1.22 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,380 services$6.68 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.44 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 20

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

ROBERTO A. MOYA, MD, PA
Specialist
2140 W 68TH ST, SUITE 201
HIALEAH, FL 33016
Miami-Dade County (305) 826-4046
MAIBYS MOLINA ARNP
Nurse Practitioner (Adult Health)
2140 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 332-2065
UROLOGY SPECIALISTS LLC
Urology
2140 W 68TH ST, SUITE 200
HIALEAH, FL 33016
Miami-Dade County (305) 822-7227
MARIA B BITTAR PT
Physical Therapist
2140 W 68TH ST, STE 101
HIALEAH, FL 33016
Miami-Dade County (305) 822-8815
PEDRO L CARRILLO MD PA
Internal Medicine
2140 W 68TH ST, 308
HIALEAH, FL 33016
Miami-Dade County (305) 824-1117
BENIDECTO FERNANDEZ MD
Internal Medicine (Rheumatology)
2140 W 68TH ST, STE 406
HIALEAH, FL 33016
Miami-Dade County (305) 362-4979
MDM CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
2140 W 68TH ST, STE 403
HIALEAH, FL 33016
Miami-Dade County (305) 698-7828
GULFSTREAM ANESTHESIA GROUP LLC
Nurse Anesthetist, Certified Registered
2140 W 68TH ST, SUITE # 305
HIALEAH, FL 33016
Miami-Dade County (305) 822-4107

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 Julian Marquez's NPI number?

The NPI number for Julian Marquez is 1184675647. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Julian Marquez located?

Julian Marquez practices at 2140 W 68th St Suite 401-A, Hialeah, FL 33016. The listed phone number is (305) 827-9939.

What is Julian Marquez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Julian Marquez enrolled in Medicare?

Yes. Julian Marquez 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.

Does Julian Marquez hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966576) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Julian Marquez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Julian Marquez 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 Julian Marquez was last updated on January 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.