Individual provider Active NPI

Paul F Rockley, MD

  • Dermatology Physician
  • North Miami Beach, FL
National Provider Identifier
1003823253
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0056806 Issued in FL
Practice address
17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Phone
(305) 940-7766
Fax
(305) 940-4617
NPI assigned
Aug 1, 2006
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0056806 FL Primary

Addresses

Primary practice location

17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159

Mailing address

17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Phone (305) 940-7766

Other identifiers 1

IdentifierTypeStateIssuer
264506800MedicaidFL

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
I20120629000053 FL Practitioner - Dermatology 1153586961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17101 NE 19TH Ave
Suite 101
North Miami Beach, FL 33162-3159
Phone (305) 940-7766

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision80
Removal of skin lesions1082
Removal of skin cancer94
Skin biopsy429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056806FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul F. Rockley M.D. P.a Dermatology CurrentSince Jul 1, 2000 Accepting new patients

Locations

17101 NE 19th Ave
Ste 101
North Miami Beach, FL 33162
Phone (305) 940-7766

Networks

  • FL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO D-SNP
  • FL HMO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1003823253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 NE 19TH AVE",
            "address_2": "SUITE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623159",
            "telephone_number": "305-940-7766",
            "fax_number": "305-940-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 NE 19TH AVE",
            "address_2": "SUITE 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623159",
            "telephone_number": "305-940-7766",
            "fax_number": "305-940-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLEY",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0056806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264506800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.