Individual provider Active NPI

Marco Alejandro Casanova, DO

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1811421027
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS18470 Issued in FL
Practice address
8200 SW 117TH Ave Ste 304
Miami, FL 33183-4826
Phone
(305) 226-5651
Fax
(305) 226-2424
NPI assigned
Apr 13, 2017
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS18470 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave Ste 304
Miami, FL 33183-4826

Mailing address

8200 SW 117TH Ave Ste 304
Miami, FL 33183-4826
Phone (305) 226-5651

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
I20220126000640 FL Practitioner - Obstetrics/Gynecology 7618369539 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Nova Southeastern College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

8200 SW 117TH Ave
Suite 304
Miami, FL 33183-4826
Phone (305) 226-5651

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18470FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC CurrentSince Jul 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Dec 30, 2022 Accepting new patients
Port Charlotte Hma Physician Management LLC Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Jan 11, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 30, 2022 Accepting new patients
Womencare PA Past Accepting new patients

Locations

3155 NW 82nd Ave
Ste 202
Doral, FL 33122
Phone (305) 226-5651

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

21110 Biscayne Blvd
Ste 312
Miami, FL 33180
Phone (305) 933-3030

15955 SW 96th St
Ste 304
Miami, FL 33196
Phone (305) 226-5651

8200 SW 117th Ave
Ste 304
Miami, FL 33183
Phone (305) 204-1201

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: marco.casanova.1@2183.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1811421027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834826",
            "telephone_number": "305-226-5651",
            "fax_number": "305-226-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834826",
            "telephone_number": "305-226-5651",
            "fax_number": "305-226-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "MARCO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS18470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.