DR. ADAM MICHAEL DE FAZIO MD
NPI 1366839573
Urology in Miami, FL
About Dr. Adam Michael De Fazio Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM MICHAEL DE FAZIO MD (NPI 1366839573) is an individual urology provider in Miami, Florida, licensed in Florida (144122) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with South Miami Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Adam Michael De Fazio 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.
Medicare Billing Reassignment
Medicare enrollment records show Adam De Fazio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33145
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Miami Hospital
Acute Care Hospitals · South Miami, FLDoctors Hospital
Acute Care Hospitals · Coral Gables, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Adam De Fazio's NPI number?
The NPI number for Adam De Fazio is 1366839573. It was assigned to this individual provider in the NPPES registry on April 25, 2015.
Where is Adam De Fazio located?
Adam De Fazio practices at 3400 Coral Way Ste 500, Miami, FL 33145. The listed phone number is (305) 603-8684.
What is Adam De Fazio's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Adam De Fazio enrolled in Medicare?
Yes. Adam De Fazio 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 Adam De Fazio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam De Fazio reassigns Medicare benefits to Modern Urology Group LLC (Miami, FL). 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 Adam De Fazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adam De Fazio accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Adam De Fazio 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 Adam De Fazio affiliated with any hospitals?
According to CMS data, Adam De Fazio is affiliated with South Miami Hospital and Doctors Hospital.
When was this NPI record last updated?
The NPPES record for Adam De Fazio was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dr. Adam Michael De Fazio, MD · NPI 1366839573
Urology physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 25, 2015.
## Identity
- **NPI:** 1366839573 (Entity type: Individual)
- **Enumerated:** April 25, 2015
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 144122 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 CORAL WAY STE 500, Miami, FL 33145-3053
- **Phone:** (305) 603-8684
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Modern Urology Group LLC (NPI 1437806197, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2015
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366839573) · Data from the CMS NPPES public registry.