MARCELO BLAYA MD
NPI 1689885022
Internal Medicine - Hematology & Oncology in North Miami, FL

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment
2111 SOLE MIA WAY, NORTH MIAMI, FL 33181(305) 243-5302(305) 243-0424 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Mar 19, 2021, Jun 16, 2018 (3 updates tracked since 2018).

About Marcelo Blaya Md NPPES

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

MARCELO BLAYA MD (NPI 1689885022) is an individual hematology & oncology provider in North Miami, Florida, licensed in Florida (ME122083) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1689885022
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMARCELO BLAYACredential: MD
Location Address2111 SOLE MIA WAYNorth Miami, FL 33181-2492
Mailing Address2111 Sole Mia WayNorth Miami, FL 33181-2492 · (305) 243-5302 · Fax (305) 243-0424
Fax(305) 243-0424
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 25, 2007
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1689885022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME122083
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2111 SOLE MIA WAY, North Miami, FL 33181

Secondary Practice Location 1

Location 11475 NW 12th AveMiami, FL 33136-1002 · Phone (305) 243-5302 · Fax (305) 243-0424

Other Identifiers 1

Medicaid013960900FL

Accepted 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

Marcelo Blaya Md 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 ID2466534300
PECOS Enrollment IDI20150202000476
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 Reassignments

2

Medicare enrollment records show Marcelo Blaya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Orthopaedic Surgery
3440 HOLLYWOOD BLVD STE 140
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 466 clinicians in this Medicare group
Pulmonary Disease
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
397 services197 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33181 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
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 20

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

Nurse Practitioner (Family)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Plastic Surgery
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Ophthalmology (Retina Specialist)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Nurse Practitioner (Adult Health)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Nurse Anesthetist, Certified Registered
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine (Medical Oncology)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Physician Assistant
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine (Gastroenterology)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181

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 Marcelo Blaya's NPI number?

The NPI number for Marcelo Blaya is 1689885022. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Marcelo Blaya located?

Marcelo Blaya practices at 2111 Sole Mia Way, North Miami, FL 33181. The listed phone number is (305) 243-5302.

What is Marcelo Blaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Marcelo Blaya enrolled in Medicare?

Yes. Marcelo Blaya 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 organizations bill Medicare for Marcelo Blaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelo Blaya reassigns Medicare benefits to 2 organizations: South Broward Hospital District (Hollywood, FL) and University Of Miami (Miami, FL). Each 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 Marcelo Blaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcelo Blaya accept?

Health plans from 22 Health, AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Marcelo Blaya 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.

Is Marcelo Blaya affiliated with any hospitals?

According to CMS data, Marcelo Blaya is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Marcelo Blaya was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.