1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Urology
  6. NPI Profile

MODERN UROLOGY GROUP LLC
NPI 1437806197
Urology in Miami, FL

Active since March 03, 2022
3400 CORAL WAY STE 500, MIAMI, FL 33145(305) 603-8684(833) 756-2656 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2022, Mar 3, 2022 (2 updates tracked since 2022).

About Modern Urology Group Llc NPPES

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

MODERN UROLOGY GROUP LLC (NPI 1437806197), doing business as Modern Urology, is a healthcare organization registered as an urology in Miami, Florida and active in the NPI registry since March 2022. The organization lists Adam Michael De Fazio, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1437806197
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMODERN UROLOGY GROUP LLC
Location Address3400 CORAL WAY STE 500Miami, FL 33145-3053
Mailing Address3400 Coral Way Ste 500Miami, FL 33145-3053 · (305) 603-8684
Phone(305) 603-8684
Fax(833) 756-2656
Organization SubpartNo
Authorized OfficialAdam Michael De FazioAuthorized Official · (305) 215-7452
Enumeration DateMarch 3, 2022
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1437806197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3400 CORAL WAY STE 500, Miami, FL 33145
Open in Google Maps ↗

Other Names 1

Doing Business AsModern Urology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Urology Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Modern Urology Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Adam De Fazio, MD
Urology
NPI 1366839573
3400 CORAL WAY STE 500
Miami, FL 33145
(305) 603-8684
✔ PECOS✔ Accepts MedicareSame address
Augusto Tirado, MD
Urology
NPI 1619940665
3400 CORAL WAY STE 500
Miami, FL 33145
(305) 856-8440
✔ PECOS✔ Accepts MedicareSame address
Angel Perez, ARNP
Nurse Practitioner
NPI 1538446422
3661 S MIAMI AVE SUITE 1006
Miami, FL 33133
(305) 856-5057
✔ PECOS✔ Accepts Medicare2.3 mi
Jose Vilaro Valderrabano, MD
Urology
NPI 1093127631
9920 SW 40TH ST
Miami, FL 33165
(786) 360-4425
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Modern Urology Group LLC's NPI number?

The NPI number for Modern Urology Group LLC is 1437806197. It was assigned to this organization in the NPPES registry on March 3, 2022. The provider is doing business as Modern Urology.

Where is Modern Urology Group LLC located?

Modern Urology Group LLC is located at 3400 Coral Way Ste 500, Miami, FL 33145. The listed phone number is (305) 603-8684.

What is Modern Urology Group LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Modern Urology Group LLC enrolled in Medicare?

Yes. Modern Urology Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Urology Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Modern Urology Group LLC. 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. The largest specialties are Urology (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Modern Urology Group LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Modern Urology Group LLC 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 Modern Urology Group LLC was last updated on June 30, 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.