MARIAN DAVIS DPM PA
NPI 1962674903
Podiatrist - Foot & Ankle Surgery in Miami, FL

Active since March 31, 2008CLIA 10D2144525 · Accreditation
1190 NW 95TH ST STE 401, MIAMI, FL 33150(305) 835-8000(305) 835-0866 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marian Davis Dpm Pa NPPES

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

MARIAN DAVIS DPM PA (NPI 1962674903) is a healthcare organization registered as a foot & ankle surgery in Miami, Florida and active in the NPI registry since March 2008. The organization holds an CLIA Accreditation certificate valid through January 30, 2027 and lists Imaze Marian Davis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1962674903
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMARIAN DAVIS DPM PA
Location Address1190 NW 95TH ST STE 401Miami, FL 33150-2067
Mailing Address1190 Nw 95th St, Suite 108Miami, FL 33150-2063 · (305) 835-8000 · Fax (305) 835-0866
Fax(305) 835-0866
Organization SubpartNo
Authorized OfficialImaze Marian DavisPresident/owner · (305) 479-5090
Enumeration DateMarch 31, 2008
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1962674903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO 3333
1190 NW 95TH ST STE 401, Miami, FL 33150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marian Davis Dpm Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20101013000330DME · Physician - PodiatryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Marian Davis DPM PA, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Podiatry
NPI 1629249925
1190 NW 95TH ST STE 401
Miami, FL 33150
(305) 835-8000
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1134441538
1190 NW 95TH ST STE 401
Miami, FL 33150
(305) 835-8000
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1316561418
1190 NW 95TH ST STE 401
Miami, FL 33150
(305) 835-8000
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1366122897
1190 NW 95TH ST SUITE 401
Miami, FL 33150
(305) 835-8000
✔ PECOSSame address
Podiatry
NPI 1881374437
1190 NW 95TH ST SUITE 401
Miami, FL 33150
(305) 835-8000
✔ PECOSSame address
Pathology
NPI 1467617506
8900 N KENDALL DR
Miami, FL 33176
(786) 596-6525
✔ PECOS✔ Accepts Medicare14 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2144525

Marian Davis Dpm PA · Miami, FL
Active · expires Jan 30, 2027
CLIA Number10D2144525
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorDr. Imaze M. Davis
Laboratory Phone(305) 835-8000
Laboratory LocationMarian Davis Dpm PA1190 NW 95th St Ste 401, Miami, FL 33150
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Marian Davis Dpm PA's NPI number?

The NPI number for Marian Davis Dpm PA is 1962674903. It was assigned to this organization in the NPPES registry on March 31, 2008.

Where is Marian Davis Dpm PA located?

Marian Davis Dpm PA is located at 1190 NW 95th St Ste 401, Miami, FL 33150. The listed phone number is (305) 835-8000.

What is Marian Davis Dpm PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Marian Davis Dpm PA enrolled in Medicare?

Yes. Marian Davis Dpm PA is registered in the Medicare PECOS enrollment system.

When is Marian Davis Dpm PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Marian Davis Dpm PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Marian Davis Dpm PA. A 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 the clinician's services. The largest specialties are Podiatry (5) and Pathology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Marian Davis Dpm PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2144525) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marian Davis Dpm PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list Marian Davis Dpm PA 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 Marian Davis Dpm PA was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.