MANUEL A GARCIA HERRAN MD
NPI 1962504795
Family Medicine - Adult Medicine in North Miami Beach, FL

Q: What is Manuel Garcia Herran's NPI number?

The NPI number for Manuel Garcia Herran is 1962504795. It was assigned to this individual provider in the NPPES registry on September 2, 2006. The provider is also known as Manuel A Garcia Herran M.D..

Q: What is Manuel Garcia Herran's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment

1850 NE 163RD ST, NORTH MIAMI BEACH, FL 33162(305) 882-9323(786) 916-2986 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2022, May 12, 2020, Aug 30, 2017 (3 updates tracked since 2017).

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About Manuel A Garcia Herran Md NPPES

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

MANUEL A GARCIA HERRAN MD (NPI 1962504795) is an individual adult medicine provider in North Miami Beach, Florida, licensed in Florida (ME72070) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1994).

NPPES Registry Identity

NPI1962504795

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameMANUEL A GARCIA HERRANCredential: MD

Location Address1850 NE 163RD STNorth Miami Beach, FL 33162-4867

Mailing Address31 Ne 27th DrWilton Manors, FL 33334-1071 · (954) 555-1190

Phone(305) 882-9323

Fax(786) 916-2986

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1994

Enumeration DateSeptember 2, 2006

Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1962504795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in FL · ME72070

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME72070 (FL)

1850 NE 163RD ST, North Miami Beach, FL 33162

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Other Names 1

Professional Name (2)Manuel A Garcia Herran M.d.

Other Identifiers 1

Medicaid063037300FL

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

Manuel A Garcia Herran 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 ID6608774427

PECOS Enrollment IDI20031230000534

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 Manuel Garcia Herran reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Solera Health Systems

Same address

Clinic/Center

1850 NE 163RD ST
North Miami Beach, FL 33162

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

NPI 1508418070 (305) 456-2997

MD Now Medical Centers Inc

14 mi

Urgent Care

16040 PINES BLVD
Pembroke Pines, FL 33027

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

NPI 1265107361 (561) 420-8555

Solantic/South Florida, LLC

23 mi

Urgent Care

1205 N UNIVERSITY DR
Coral Springs, FL 33071

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

NPI 1851344378 (954) 780-8134

West Boynton Urgent Care, LLC

41 mi

Urgent Care

8756 BOYNTON BEACH BLVD, SUITE 150
Boynton Beach, FL 33472

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

NPI 1003172628 (561) 740-2273

Jacksonville Carenow Urgent Care, LLC

310 mi

Urgent Care

4888 TOWN CENTER PKWY UNIT 107
Jacksonville, FL 32246

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

NPI 1447771670 (904) 800-1735

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 3

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.

28 services27 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

20 services20 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33162 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.

Other Providers at the Same Location NPPES 2

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

CONSTELLATION MEDICAL GROUP LLC

General Practice

1850 NE 163RD ST
NORTH MIAMI BEACH, FL 33162

Miami-Dade County (786) 552-7800

SOLERA HEALTH SYSTEMS

Clinic/Center

1850 NE 163RD ST
NORTH MIAMI BEACH, FL 33162

Miami-Dade County (305) 456-2997

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 Manuel Garcia Herran's NPI number?

The NPI number for Manuel Garcia Herran is 1962504795. It was assigned to this individual provider in the NPPES registry on September 2, 2006. The provider is also known as Manuel A Garcia Herran M.D..

Where is Manuel Garcia Herran located?

Manuel Garcia Herran practices at 1850 NE 163rd St, North Miami Beach, FL 33162. The listed phone number is (305) 882-9323.

What is Manuel Garcia Herran's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Manuel Garcia Herran enrolled in Medicare?

Yes. Manuel Garcia Herran 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 Manuel Garcia Herran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Garcia Herran reassigns Medicare benefits to 5 organizations: Solera Health Systems (North Miami Beach, FL), MD Now Medical Centers Inc (Pembroke Pines, FL), Solantic/South Florida, LLC (Coral Springs, FL), West Boynton Urgent Care, LLC (Boynton Beach, FL) and Jacksonville Carenow Urgent Care, LLC (Jacksonville, FL). 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 Manuel Garcia Herran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Garcia Herran accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Molina Healthcare list Manuel Garcia Herran 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 Manuel Garcia Herran was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.