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ANA J FANDINO MD PA
NPI 1639102155
Family Medicine in Miami, FL

Active since July 08, 2006
9780 SW 24TH ST, MIAMI, FL 33165(305) 551-5051(305) 551-8808 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ana J Fandino Md Pa NPPES

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

ANA J FANDINO MD PA (NPI 1639102155) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since July 2006. The organization lists Ana Julia Fandino, President, as its authorized official.

NPPES Registry Identity

NPI1639102155
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANA J FANDINO MD PA
Location Address9780 SW 24TH STMiami, FL 33165-7574
Mailing Address9780 Sw 24th StMiami, FL 33165-7574 · (305) 551-5051 · Fax (305) 551-8808
Phone(305) 551-5051
Fax(305) 551-8808
Organization SubpartNo
Authorized OfficialAna Julia FandinoPresident · (305) 551-5051
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 17, 2007
✔ NPI 1639102155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME91994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9780 SW 24TH ST, Miami, FL 33165
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Other Identifiers 3

Medicare ID-Type UnspecifiedK7776FL
Medicare UPINI31331
Medicaid272739100FL

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)

Ana J Fandino 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 IDO20050623000218Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ana J Fandino MD PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ana Fandino, MD
Family Practice
NPI 1033157938
10300 SW 72ND ST STE 430
Miami, FL 33173
(786) 427-6644
✔ PECOS✔ Accepts Medicare3.3 mi
Javier Rios, ARNP
Nurse Practitioner
NPI 1336469055
14936 SW 59TH ST
Miami, FL 33193
(305) 968-3288
✔ PECOS5.8 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 Ana J Fandino MD PA's NPI number?

The NPI number for Ana J Fandino MD PA is 1639102155. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Ana J Fandino MD PA located?

Ana J Fandino MD PA is located at 9780 SW 24th St, Miami, FL 33165. The listed phone number is (305) 551-5051.

What is Ana J Fandino MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ana J Fandino MD PA enrolled in Medicare?

Yes. Ana J Fandino MD PA is registered in the Medicare PECOS enrollment system.

When is Ana J Fandino 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 Ana J Fandino MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ana J Fandino MD PA, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ana J Fandino MD PA was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.