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DR. MARIA PAPANIKOLAOU MD, PHD
NPI 1538021977
Dermatology in Miami, FL

Active since November 24, 2025PECOS EnrolledAccepts Medicare Assignment
1600 NW 10TH AVE, MIAMI, FL 33136(786) 960-8035 Get Directions Write a Review

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

About Dr. Maria Papanikolaou Md, Phd NPPES

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

DR. MARIA PAPANIKOLAOU MD, PHD (NPI 1538021977) is an individual dermatology provider in Miami, Florida, licensed in Florida (AWAITED) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1538021977
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARIA PAPANIKOLAOUCredential: MD, PHD
Location Address1600 NW 10TH AVEMiami, FL 33136-1015
Mailing Address1600 Nw 10th Ave, Rosenstiel Medical Science Building, Room 2040-aMiami, FL 33136-1015
Phone(786) 960-8035
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 24, 2025
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1538021977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · AWAITED
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1600 NW 10TH AVE, Miami, FL 33136
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Other Names 1

Professional Name (2)Marieta Papanikolaou

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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. Maria Papanikolaou Md, Phd 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 ID6305326356
PECOS Enrollment IDI20260218000407
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 Reassignment

Medicare enrollment records show Maria Papanikolaou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Clinical Medical Laboratory
1600 NW 10TH AVE, SUITE # 7109B
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1063462604 (305) 243-7688

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MANAV TAPAN DAFTARI BS
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3234
DR. JONETTE ELIZABETH KERI M.D., PH. D.
Dermatology
1600 NW 10TH AVE, ROOM 2023A (R-250)
MIAMI, FL 33136
Miami-Dade County (305) 243-4472
UNIVERSITY OF MIAMI
Clinical Medical Laboratory
1600 NW 10TH AVE, SUITE # 7109B
MIAMI, FL 33136
Miami-Dade County (305) 243-7688
GREGORY E HOLT MD
Internal Medicine (Pulmonary Disease)
1600 NW 10TH AVE, RSMB, ROOM 7052
MIAMI, FL 33136
Miami-Dade County (305) 243-6388
KATHERINE CHINEMEREM UJUNWA
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (980) 422-2636
TIMOTHY ROBERT MADIGAN
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3234
SHAUNAK MISHRA
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-6551
KHUSHI HEMENDRA SHAH
Student in an Organized Health Care Education/Training Program
1600 NW 10TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3234

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 Maria Papanikolaou's NPI number?

The NPI number for Maria Papanikolaou is 1538021977. It was assigned to this individual provider in the NPPES registry on November 24, 2025. The provider is also known as Marieta Papanikolaou.

Where is Maria Papanikolaou located?

Maria Papanikolaou practices at 1600 NW 10th Ave, Miami, FL 33136. The listed phone number is (786) 960-8035.

What is Maria Papanikolaou's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Maria Papanikolaou enrolled in Medicare?

Yes. Maria Papanikolaou 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 Maria Papanikolaou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Papanikolaou reassigns Medicare benefits to University Of Miami (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 Maria Papanikolaou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Papanikolaou accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Maria Papanikolaou 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 Maria Papanikolaou was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.