Individual provider Active NPI

Marah Tillman, M.D.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1700230703
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME151340 Issued in FL
Practice address
3181 Coral Way FL 4
Miami, FL 33145-3229
Phone
(305) 856-1002
NPI assigned
Apr 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME151340 FL Primary

Addresses

Primary practice location

3181 Coral Way FL 4
Miami, FL 33145-3229

Mailing address

3181 Coral Way FL 4
Miami, FL 33145-3229
Phone (305) 856-1002

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915000482 FL Practitioner - General Surgery 9830425008 Reassigns benefits to 1 organization
Practice locations: Homestead, FL

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Florida International Univ, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Surgical Group LLCGroup PAC ID 7214062520, 4 clinicians

Practice addresses (Care Compare)

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-1002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Surgical Group LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

3181 Coral Way
Ste 301
Miami, FL 33145
Phone (305) 444-4546

3661 S Miami Ave
Ste 708
Miami, FL 33133
Phone (305) 856-1002

3181 Coral Way
Fl 4
Miami, FL 33145
Phone (305) 445-7200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1700230703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453229",
            "telephone_number": "305-856-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 CORAL WAY FL 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453229",
            "telephone_number": "305-856-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "MARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME151340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.