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MARIANO BUSSO MD PA
NPI 1497060453
Dermatology - Procedural Dermatology in Coconut Grove, FL

Active since August 16, 2010
3006 AVIATION AVE, SUITE 2C, COCONUT GROVE, FL 33133(305) 857-0144(305) 857-0812 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mariano Busso Md Pa NPPES

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

MARIANO BUSSO MD PA (NPI 1497060453) is a healthcare organization registered as a procedural dermatology in Coconut Grove, Florida and active in the NPI registry since August 2010. The organization lists Mariano Busso, Medical Doctor/president, as its authorized official.

NPPES Registry Identity

NPI1497060453
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameMARIANO BUSSO MD PA
Location Address3006 AVIATION AVE, SUITE 2CCoconut Grove, FL 33133-3863
Mailing Address3006 Aviation Ave, Suite 2cCoconut Grove, FL 33133-3863 · (305) 857-0144 · Fax (305) 857-0812
Phone(305) 857-0144
Fax(305) 857-0812
Organization SubpartNo
Authorized OfficialMariano BussoMedical Doctor/president · (305) 857-0144
Enumeration DateAugust 16, 2010
✔ NPI 1497060453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in FL · ME0065566
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
3006 AVIATION AVE, Coconut Grove, FL 33133
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariano Busso Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20101119000490Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mariano Busso MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mariano Busso, M.D., P.A.
Dermatology
NPI 1346229978
3006 AVIATION AVE SUITE 2C
Coconut Grove, FL 33133
(305) 857-0144
✔ PECOS✔ Accepts MedicareSame address

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 Mariano Busso MD PA's NPI number?

The NPI number for Mariano Busso MD PA is 1497060453. It was assigned to this organization in the NPPES registry on August 16, 2010.

Where is Mariano Busso MD PA located?

Mariano Busso MD PA is located at 3006 Aviation Ave Suite 2C, Coconut Grove, FL 33133. The listed phone number is (305) 857-0144.

What is Mariano Busso MD PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Mariano Busso MD PA enrolled in Medicare?

Yes. Mariano Busso MD PA is registered in the Medicare PECOS enrollment system.

When is Mariano Busso MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mariano Busso MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Mariano Busso MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mariano Busso MD PA was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.