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FRANCISCO MADERAL M.D.
NPI 1861470551
Internal Medicine - Gastroenterology in Hialeah, FL

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
2140 W 68TH ST, SUITE 305, HIALEAH, FL 33016(305) 822-4108(305) 822-5086 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Francisco Maderal M.d. NPPES

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

FRANCISCO MADERAL M.D. (NPI 1861470551) is an individual gastroenterology provider in Hialeah, Florida, licensed in Florida (ME0039832) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1861470551
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameFRANCISCO MADERALCredential: M.D.
Location Address2140 W 68TH ST, SUITE 305Hialeah, FL 33016-1815
Mailing Address2140 W 68th St, Suite 300Hialeah, FL 33016-1815 · (305) 822-4107 · Fax (786) 497-2989
Phone(305) 822-4108
Fax(305) 822-5086
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 4, 2006
Last NPPES UpdateApril 23, 2014
✔ NPI 1861470551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0039832
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2140 W 68TH ST, Hialeah, FL 33016
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Other Identifiers 4

Medicare UPIND64006FL
Medicaid041773400FL
Other96836FL · Bc/bs
Medicare ID-Type Unspecified96836XFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Francisco Maderal 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 ID5597792721
PECOS Enrollment IDI20110706000469
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 Reassignment

Medicare enrollment records show Francisco Maderal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Digestive Medicine Associates
Same address
Gastroenterology
2140 W 68TH ST, SUITE 300
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • 20 clinicians in this Medicare group
NPI 1700867488 (305) 822-4107

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services39 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 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.

ROBERTO A. MOYA, MD, PA
Specialist
2140 W 68TH ST, SUITE 201
HIALEAH, FL 33016
Miami-Dade County (305) 826-4046
MAIBYS MOLINA ARNP
Nurse Practitioner (Adult Health)
2140 W 68TH ST
HIALEAH, FL 33016
Miami-Dade County (305) 332-2065
UROLOGY SPECIALISTS LLC
Urology
2140 W 68TH ST, SUITE 200
HIALEAH, FL 33016
Miami-Dade County (305) 822-7227
MARIA B BITTAR PT
Physical Therapist
2140 W 68TH ST, STE 101
HIALEAH, FL 33016
Miami-Dade County (305) 822-8815
PEDRO L CARRILLO MD PA
Internal Medicine
2140 W 68TH ST, 308
HIALEAH, FL 33016
Miami-Dade County (305) 824-1117
BENIDECTO FERNANDEZ MD
Internal Medicine (Rheumatology)
2140 W 68TH ST, STE 406
HIALEAH, FL 33016
Miami-Dade County (305) 362-4979
MDM CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
2140 W 68TH ST, STE 403
HIALEAH, FL 33016
Miami-Dade County (305) 698-7828
MR. JULIAN MARQUEZ MD
General Practice
2140 W 68TH ST, SUITE 401-A
HIALEAH, FL 33016
Miami-Dade County (305) 827-9939

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 Francisco Maderal's NPI number?

The NPI number for Francisco Maderal is 1861470551. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Francisco Maderal located?

Francisco Maderal practices at 2140 W 68th St Suite 305, Hialeah, FL 33016. The listed phone number is (305) 822-4108.

What is Francisco Maderal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Francisco Maderal enrolled in Medicare?

Yes. Francisco Maderal 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 organization bills Medicare for Francisco Maderal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francisco Maderal reassigns Medicare benefits to Digestive Medicine Associates (Hialeah, FL). The 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 Francisco Maderal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Francisco Maderal accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Francisco Maderal 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 Francisco Maderal was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.