MR. PHILIP EDWARD DLUGASCH ARNP
NPI 1669572616
Nurse Practitioner - Adult Health in Miami, FL

Active since September 22, 2006PECOS Enrolled
1611 NW 12 AVE, MIAMI, FL 33136(305) 355-5220 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Philip Edward Dlugasch Arnp NPPES

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

MR. PHILIP EDWARD DLUGASCH ARNP (NPI 1669572616) is an individual adult health provider in Miami, Florida, licensed in Florida (APRN1558712) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669572616
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. PHILIP EDWARD DLUGASCHCredential: ARNP
Location Address1611 NW 12 AVEMiami, FL 33136-1096
Mailing Address11620 Sw 104th AveMiami, FL 33176-4002 · (305) 253-9704
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1669572616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN1558712
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License ARNP1558712 (FL)
1611 NW 12 AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Philip Edward Dlugasch Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Philip Dlugasch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1611 NW 12TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 570 clinicians in this Medicare group

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
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Other Providers at the Same Location NPPES 16

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

Internal Medicine
1611 NW 12 AVE, CENTRAL 600-D
MIAMI, FL 33136
Respiratory Therapist, Certified
1611 NW 12 AVE
MIAMI, FL 33136
Speech-Language Pathologist
1611 NW 12 AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12 AVE, JACKSON MEMORIAL HOSPITAL
MIAMI, FL 33136
Occupational Therapist
1611 NW 12 AVE
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12 AVE
MIAMI, FL 33136
Nurse Practitioner (Family)
1611 NW 12 AVE
MIAMI, FL 33136
Radiology (Neuroradiology)
1611 NW 12 AVE
MIAMI, FL 33136

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 Philip Dlugasch's NPI number?

The NPI number for Philip Dlugasch is 1669572616. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Philip Dlugasch located?

Philip Dlugasch practices at 1611 NW 12 Ave, Miami, FL 33136. The listed phone number is (305) 355-5220.

What is Philip Dlugasch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Philip Dlugasch enrolled in Medicare?

Yes. Philip Dlugasch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Dlugasch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Dlugasch reassigns Medicare benefits to Public Health Trust Of Miami Dade County Florida (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 Philip Dlugasch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Dlugasch accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Philip Dlugasch 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 Philip Dlugasch was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.