LARISSA DIAZ FAJARDO MD
NPI 1821790577
Internal Medicine in Miami, FL

Q: What is Larissa Diaz Fajardo's NPI number?

The NPI number for Larissa Diaz Fajardo is 1821790577. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Larissa Diaz Fajardo's specialty?

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

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment

11880 BIRD RD STE 101, MIAMI, FL 33175(305) 485-4677 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Mar 20, 2023 (2 updates tracked since 2023).

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About Larissa Diaz Fajardo Md NPPES

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

LARISSA DIAZ FAJARDO MD (NPI 1821790577) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME176094) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Keralty Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821790577

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLARISSA DIAZ FAJARDOCredential: MD

Location Address11880 BIRD RD STE 101Miami, FL 33175-3573

Mailing Address11880 Bird Rd Ste 101Miami, FL 33175-3573 · (305) 485-4677

Phone(305) 485-4677

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 20, 2023

Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1821790577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME176094

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.

11880 BIRD RD STE 101, Miami, FL 33175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Larissa Diaz Fajardo 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 ID6103284641

PECOS Enrollment IDI20251110001294

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

Medicare enrollment records show Larissa Diaz Fajardo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rrm Medical Center Inc

2.7 mi

Multi-Specialty

10300 SW 72ND ST STE 155
Miami, FL 33173

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1700768223 (305) 404-7083

Ms Alliance Health Group Corp

12 mi

Internal Medicine

14001 NW 82ND AVE
Miami Lakes, FL 33016

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1457247710 (305) 873-4411

Omederos MD PA

16 mi

Internal Medicine

15955 BASS CREEK RD
Miramar, FL 33027

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1427853894 (786) 553-0177

Complete Care Management Services Aco LLC

17 mi

Primary Care

3400 LAKESIDE DR STE 525
Miramar, FL 33027

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1780197152 (786) 292-4797

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.

Keralty Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100284

Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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 10

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

ARIELIS ORTIZ MD

Internal Medicine