Active NPI
Adam Michael De Fazio, MD
- Urology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 144122
- Practice address
- 3400 Coral Way Ste 500
Miami, FL 33145-3053 - Phone
- (305) 603-8684
- NPI assigned
- Apr 25, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 144122 | FL | Primary |
Addresses
Primary practice location
3400 Coral Way Ste 500
Miami, FL 33145-3053
Mailing address
3400 Coral Way Ste 500
Miami, FL 33145-3053
Phone (305) 603-8684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Columbia University College of Physicians and Surgeons, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Coral Way
Suite 500
Miami, FL 33145-3053
Phone (305) 603-8684
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144122 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Healthcare Holdings, LLLP | Current | Accepting new patients | |
| Modern Urology Group LLC | Urology | Current | Accepting new patients |
| Hoover Family Medicine PA | Past | Accepting new patients |
Locations
2400 SW 69th Ave
Ste 100
Miami, FL 33155
3400 Coral Way
Ste 500
Miami, FL 33145
Phone (305) 603-8684
Interoperability endpoints
- adam.defazio@hca4.eclinicaldirectplus.com
- adam.defazio.1@26205.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1518587203
-
- General Practice Physician
- Miami, FL
- NPI 1427220813
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coral Gables, FL
- NPI 1952351983
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1366839573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CORAL WAY STE 500",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453053",
"telephone_number": "305-603-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CORAL WAY STE 500",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453053",
"telephone_number": "305-603-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE FAZIO",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-25",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "144122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.