MANUEL ANTONIO DURAN BORRAS M.D.
NPI 1386065142
Internal Medicine in Miami, FL

Q: What is Manuel Duran Borras's NPI number?

The NPI number for Manuel Duran Borras is 1386065142. It was assigned to this individual provider in the NPPES registry on December 21, 2013.

Q: What is Manuel Duran Borras's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 21, 2013PECOS EnrolledAccepts Medicare Assignment

3663 S MIAMI AVE, MIAMI, FL 33133(305) 285-2752(305) 860-4625 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017 (2 updates tracked since 2017).

On this page

About Manuel Antonio Duran Borras M.d. NPPES

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

MANUEL ANTONIO DURAN BORRAS M.D. (NPI 1386065142) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME126726) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with Westside Regional Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1386065142

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMANUEL ANTONIO DURAN BORRASCredential: M.D.

Location Address3663 S MIAMI AVEMiami, FL 33133-4253

Mailing Address1901 1st Ave, Suite 704New York, NY 10029-7404 · (212) 423-6771 · Fax (212) 423-8099

Phone(305) 285-2752

Fax(305) 860-4625

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateDecember 21, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1386065142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME126726

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

3663 S MIAMI AVE, Miami, FL 33133

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Manuel Antonio Duran Borras 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 ID5092003749

PECOS Enrollment IDI20161012000588

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 Reassignments

Medicare enrollment records show Manuel Duran Borras reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hha Associates LLC

6.3 mi

Hospitalist

4960 SW 72ND AVE STE 301
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
224 clinicians in this Medicare group

NPI 1265073159 (877) 832-2652

Emergency Medicine Services Of Fl, LLC

16 mi

Emergency Medicine

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
1,912 clinicians in this Medicare group

NPI 1043917180 (305) 682-7000

Northeast Florida Hospitalists Inc

48 mi

Hospitalist

5352 LINTON BLVD
Delray Beach, FL 33484

Reassigned Medicare billing, Florida enrollment
140 clinicians in this Medicare group

NPI 1013036219 (561) 498-4440

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

379 services161 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

113 services107 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

72 services67 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.

67 services66 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100228

Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%55 patients5/55-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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers21 claims21 services$15.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers20 claims20 services$78.99 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.

DR. BRIAN F BAIGORRI M.D.

Radiology (Vascular & Interventional Radiology)

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (305) 854-4400

AILEN LARIAS ARENCIBIA

Nurse Practitioner (Family)

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (786) 317-7327

DR. NESTOR OMAR CANCIO MORALES M.D.

Internal Medicine (Pulmonary Disease)

3663 S MIAMI AVE, STE 3325
MIAMI, FL 33133

Miami-Dade County (305) 856-1461

PLANTATION GENERAL HOSPITAL LP

General Acute Care Hospital

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (305) 285-2121

MATTHEW MAGGIO

Anesthesiology

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (305) 854-4400

DR. ROBERTO FERNANDEZ D.O

Emergency Medicine

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (305) 854-4400

KELLEY ROACH DO

Anesthesiology

3663 S MIAMI AVE
MIAMI, FL 33133

Miami-Dade County (305) 854-4400

RODOLFO ZACARIAS SCHNEER M.D.

Emergency Medicine

3663 S MIAMI AVE, MEDICAL STAFF OFFICE
MIAMI, FL 33133

Miami-Dade County (305) 439-8888

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 Manuel Duran Borras's NPI number?

The NPI number for Manuel Duran Borras is 1386065142. It was assigned to this individual provider in the NPPES registry on December 21, 2013.

Where is Manuel Duran Borras located?

Manuel Duran Borras practices at 3663 S Miami Ave, Miami, FL 33133. The listed phone number is (305) 285-2752.

What is Manuel Duran Borras's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manuel Duran Borras enrolled in Medicare?

Yes. Manuel Duran Borras 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 organizations bill Medicare for Manuel Duran Borras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Duran Borras reassigns Medicare benefits to 3 organizations: Hha Associates LLC (Miami, FL), Emergency Medicine Services Of Fl, LLC (Aventura, FL) and Northeast Florida Hospitalists Inc (Delray Beach, FL). Each 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 Manuel Duran Borras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Duran Borras accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Manuel Duran Borras 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 Manuel Duran Borras affiliated with any hospitals?

According to CMS data, Manuel Duran Borras is affiliated with Westside Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Manuel Duran Borras was last updated on July 21, 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.