DR. MARCO A. ARIAS M.D.
NPI 1720483431
Internal Medicine in Miami, FL

Active since October 24, 2014PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marco A. Arias M.d. NPPES

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

DR. MARCO A. ARIAS M.D. (NPI 1720483431) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME124804) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Howard University College Of Medicine (2012).

NPPES Registry Identity

NPI1720483431
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARCO A. ARIASCredential: M.D.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address10000 Nw 10th StMiami, FL 33172-3321 · (703) 864-6991
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2012
Enumeration DateOctober 24, 2014
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1720483431 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 · ME124804✔ Licensed in FL · TRN17359
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.
1611 NW 12TH 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 and accepts Medicare assignment

Dr. Marco A. Arias 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 ID3274837604
PECOS Enrollment IDI20160205000650
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

8

Medicare enrollment records show Marco Arias reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1611 NW 12TH AVE, SUITE # C150
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
4.2 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
Hospitalist
4960 SW 72ND AVE STE 301
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 224 clinicians in this Medicare group
Internal Medicine
6200 SW 73RD ST, BOX 69
South Miami, FL 33143
  • Reassigned Medicare billing, Florida enrollment
  • 92 clinicians in this Medicare group
Internal Medicine
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Oak Grove Physician Services PA
  • 119 clinicians in this Medicare group
General Acute Care Hospital
160 NW 170TH ST
North Miami Beach, FL 33169
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Jmh Internal Medicine Specialist LLC
  • 17 clinicians in this Medicare group
Internal Medicine
8300 COLLIER BLVD
Naples, FL 34114
  • Reassigned Medicare billing, Florida enrollment
  • 335 clinicians in this Medicare group
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 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.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH 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 Marco Arias's NPI number?

The NPI number for Marco Arias is 1720483431. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Marco Arias located?

Marco Arias practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Marco Arias's specialty?

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

Is Marco Arias enrolled in Medicare?

Yes. Marco Arias 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 Marco Arias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Arias reassigns Medicare benefits to 8 organizations: Rodriguez Torrecilla LLC (Miami, FL), Qmc LLC (Miami, FL), Hha Associates LLC (Miami, FL), South Miami Inpatient Physicians (South Miami, FL), Oak Grove Physician Services, P.A. (North Miami Beach, FL) and 3 more organizations, listed in the Medicare section above. 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 Marco Arias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Arias accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Marco Arias 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 Marco Arias affiliated with any hospitals?

According to CMS data, Marco Arias is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Marco Arias was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.