MIGUEL ANTONIO FANA JR. M.D.
NPI 1417926833
Internal Medicine in St Petersburg, FL

Q: What is Miguel Fana's NPI number?

The NPI number for Miguel Fana is 1417926833. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Miguel Fana's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Miguel Fana was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment

5798 38TH AVE N, ST PETERSBURG, FL 33710(727) 384-0192(727) 384-1500 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Jul 17, 2024, Apr 12, 2023 and 3 more (6 updates tracked since 2017).

On this page

About Miguel Antonio Fana Jr. M.d. NPPES

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

MIGUEL ANTONIO FANA JR. M.D. (NPI 1417926833) is an individual internal medicine provider in St Petersburg, Florida, licensed in Florida (ME80639) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1417926833

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMIGUEL ANTONIO FANA JR.Credential: M.D.

Location Address5798 38TH AVE NSt Petersburg, FL 33710-1926

Mailing Address5350 Spring Hill DrSpring Hill, FL 34606-4562 · (352) 277-5348 · Fax (352) 606-2857

Phone(727) 384-0192

Fax(727) 384-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 16, 2006

Last NPPES UpdateApril 15, 20266 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1417926833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME80639

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.

5798 38TH AVE N, St Petersburg, FL 33710

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Other Identifiers 1

Medicaid259988100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Miguel Antonio Fana Jr. 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 ID5890715809

PECOS Enrollment IDI20051206000105

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.

Areas of Expertise CMS Part B claims 3

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

53 services27 patients

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.

39 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33710 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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

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…

60%25 patients3/55-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.

Other Providers at the Same Location NPPES 6

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

DR. CRAIG SPERGEL DO

Internal Medicine

5798 38TH AVE N
ST PETERSBURG, FL 33710

Pinellas County (727) 384-0192

MICHELLE M ARRIETA-GONZALEZ M.D.

Internal Medicine

5798 38TH AVE N
ST PETERSBURG, FL 33710

Pinellas County (727) 384-0192

STEPHANIE FRANK ARNP

Nurse Practitioner

5798 38TH AVE N
SAINT PETERSBURG, FL 33710

Pinellas County (727) 384-0192

BRIAN ROSA PA-C

Physician Assistant (Surgical)

5798 38TH AVE N
ST PETERSBURG, FL 33710

Pinellas County (727) 384-0152

MARY ELIZABETH DAHLSTEIN

Nurse Practitioner (Gerontology)

5798 38TH AVE N
ST PETERSBURG, FL 33710

Pinellas County (727) 384-0192

MATTHEW CONYERS PA, ATC

Physician Assistant

5798 38TH AVE N
ST PETERSBURG, FL 33710

Pinellas County (727) 384-0192

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 Miguel Fana's NPI number?

The NPI number for Miguel Fana is 1417926833. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Miguel Fana located?

Miguel Fana practices at 5798 38th Ave N, St Petersburg, FL 33710. The listed phone number is (727) 384-0192.

What is Miguel Fana's specialty?

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

Is Miguel Fana enrolled in Medicare?

Yes. Miguel Fana 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 Miguel Fana accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Miguel Fana 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 Miguel Fana was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.