MARC TITO SANGALANG APRN
NPI 1710602040
Nurse Practitioner - Acute Care in Miami, FL
About Marc Tito Sangalang Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC TITO SANGALANG APRN (NPI 1710602040) is an individual acute care provider in Miami, Florida, licensed in Florida (11021540) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
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
Marc Tito Sangalang Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marc Sangalang reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33125
- Reassigned Medicare billing, Florida enrollment
- 3,639 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 539 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Hospital
Acute Care Hospitals · Atlanta, GAPhysician 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.
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.
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.
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 Marc Sangalang's NPI number?
The NPI number for Marc Sangalang is 1710602040. It was assigned to this individual provider in the NPPES registry on October 10, 2022.
Where is Marc Sangalang located?
Marc Sangalang practices at 1400 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 689-5437.
What is Marc Sangalang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Marc Sangalang enrolled in Medicare?
Yes. Marc Sangalang 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 Marc Sangalang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Sangalang reassigns Medicare benefits to 3 organizations: University Of Miami (Miami, FL), Piedmont Cardiology Of Atlanta, LLC (Atlanta, GA) and Ssm Health Care Group (Saint Louis, MO). 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 Marc Sangalang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Sangalang accept?
Health plans from Anthem Blue Cross and Blue Shield list Marc Sangalang 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 Marc Sangalang affiliated with any hospitals?
According to CMS data, Marc Sangalang is affiliated with Piedmont Hospital.
When was this NPI record last updated?
The NPPES record for Marc Sangalang was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.