MARCELLE THARMARAJAH M.D.
NPI 1811167042
Family Medicine in Miami, FL

Q: What is Marcelle Tharmarajah's NPI number?

The NPI number for Marcelle Tharmarajah is 1811167042. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Q: What is Marcelle Tharmarajah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 04, 2008PECOS Enrolled

10464 SW 128TH TER, MIAMI, FL 33176(305) 878-2626 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 11, 2021, Sep 16, 2019 (2 updates tracked since 2019).

On this page

About Marcelle Tharmarajah M.d. NPPES

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

MARCELLE THARMARAJAH M.D. (NPI 1811167042) is an individual family medicine provider in Miami, Florida, licensed in Georgia (61361) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1811167042

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARCELLE THARMARAJAHCredential: M.D.

Location Address10464 SW 128TH TERMiami, FL 33176-5521

Mailing Address10464 Sw 128th TerMiami, FL 33176-5521 · (305) 878-2626

Phone(305) 878-2626

Sole ProprietorNo

Enumeration DateMarch 4, 2008

Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration

NPPES CertifiedAugust 11, 2021

✔ NPI 1811167042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in GA · 61361✔ Licensed in OH · 35.135492✔ Licensed in FL · ME102257✔ Licensed in KY · 51996✔ Licensed in TN · 58559

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License ME1022257 (FL)

Also ListedHospitalistTaxonomy 208M00000X · License ME102257 (FL)

10464 SW 128TH TER, Miami, FL 33176

Open in Google Maps ↗

Secondary Practice Location 1

Location 111211 SW 152nd StMiami, FL 33157-1101 · Phone (305) 255-1355 · Fax (305) 255-2015

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcelle Tharmarajah M.d. 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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services77 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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.

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 Marcelle Tharmarajah's NPI number?

The NPI number for Marcelle Tharmarajah is 1811167042. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Marcelle Tharmarajah located?

Marcelle Tharmarajah practices at 10464 SW 128th Ter, Miami, FL 33176. The listed phone number is (305) 878-2626.

What is Marcelle Tharmarajah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marcelle Tharmarajah enrolled in Medicare?

Yes. Marcelle Tharmarajah is registered in the Medicare PECOS enrollment system.

What insurance does Marcelle Tharmarajah accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of Kansas, Inc. list Marcelle Tharmarajah 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 Marcelle Tharmarajah was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.