Modern Urology Group LLC
NPI 1437806197ActiveOrganization· Urology· Miami, FL
Urology in Miami, Florida, registered in NPPES in March 2022. The authorized official on file is Adam Michael De Fazio, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437806197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2022 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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