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CANDIDO ANAYA M.D.
NPI 1699739078
Internal Medicine in Miami, FL

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-1960(305) 243-5546 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candido Anaya M.d. NPPES

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

CANDIDO ANAYA M.D. (NPI 1699739078) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME113276) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1998).

NPPES Registry Identity

NPI1699739078
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCANDIDO ANAYACredential: M.D.
Location Address1400 NW 12TH AVEMiami, FL 33136-1003
Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-1960 · Fax (305) 243-5546
Phone(305) 243-1960
Fax(305) 243-5546
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1998
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1699739078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME113276✔ Licensed in NY · 236079
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Other Identifiers 3

Other331978NY · Medicare Group Number Essex Street
Medicaid02741739NY
Other00695941NY · Medicaid Group Number Essex Street

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candido Anaya M.d. 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 ID6507768959
PECOS Enrollment IDI20120716000461
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services26 patients

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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

KEREN SHAHAR M.D.
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-5511
MS. MELANIE ELEANOR GARCIA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-8500
NAYRA SANCHO LARA APRN
Nurse Practitioner (Adult Health)
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4000
ARLEN VEGA CRNA
Nurse Anesthetist, Certified Registered
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 325-5511
ROLANDO GARCIA MD
Orthopaedic Surgery
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-3229
DR. JONATHAN GUY AZOULAI M.D.
Emergency Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2121
DR. EMORY MATTHEW MANTEN
Internal Medicine
1400 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 689-2023
DR. CARISSA RAMOS CRUZ DMD
Dentist (General Practice)
1400 NW 12TH AVE, SUITE 2005
MIAMI, FL 33136
Miami-Dade County (305) 689-1127

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 Candido Anaya's NPI number?

The NPI number for Candido Anaya is 1699739078. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Candido Anaya located?

Candido Anaya practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-1960.

What is Candido Anaya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Candido Anaya enrolled in Medicare?

Yes. Candido Anaya 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.

What insurance does Candido Anaya accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Candido Anaya 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 Candido Anaya was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.