NPIMap

Individual provider Active NPI

Marlon Pastrana, M.D.

  • Surgery Physician
  • South Miami, FL
National Provider Identifier
1134487705
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME139634 Issued in FL
Practice address
6200 SW 72ND St Ste 502
South Miami, FL 33143-4830
Phone
(305) 271-9777
Fax
(786) 533-9450
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD464939 PA
Surgery Physician 208600000X ME139634 FL Primary

Addresses

Primary practice location

6200 SW 72ND St Ste 502
South Miami, FL 33143-4830

Mailing address

6241 SW 112TH PL
Miami, FL 33173-1079
Phone (786) 304-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180830000974 PA Practitioner - General Surgery 2163772898 Reassigns benefits to 1 organization
I20190715002902 FL Practitioner - General Surgery 2163772898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

975 Baptist Way
Suite 203D
Homestead, FL 33033-7600
Phone (305) 717-7537

Hospital & facility affiliations

  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue30
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD464939PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Surgery CurrentSince Aug 1, 2018 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Pastrana Bariatrics PA Surgery CurrentSince Apr 1, 2024 Accepting new patients

Locations

975 Baptist Way
Ste 203D
Homestead, FL 33033
Phone (305) 717-7537

815 N Homestead Blvd
Homestead, FL 33030
Phone (305) 245-0017

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

2801 NW 79th Ave
Ste 404
Miami, FL 33122
Phone (786) 281-6917

240 Cetronia Rd
Ste 205N
Allentown, PA 18104
Phone (484) 426-2600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: mar04649@cerner.directbaptisthealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1134487705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 SW 112TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731079",
            "telephone_number": "786-304-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 72ND ST STE 502",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434830",
            "telephone_number": "305-271-9777",
            "fax_number": "786-533-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRANA",
        "first_name": "MARLON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD464939",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME139634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.