Rodolfo Pataky, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100832 Issued in FL

Practice address

12781 SW 42ND St
Suite G
Miami, FL 33175-3437

Phone

(305) 553-2220

Fax

(305) 553-9753

NPI assigned

Aug 15, 2006

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Healthcare Surgical Services, Inc.

  • Medical-Surgical Registered Nurse
  • Miami Lakes, FL
  • NPI 1235230244
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1003829540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "SUITE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437",
            "telephone_number": "305-553-2220",
            "fax_number": "305-553-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 SW 42ND ST",
            "address_2": "SUITE G",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753437",
            "telephone_number": "305-553-2220",
            "fax_number": "305-553-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATAKY",
        "first_name": "RODOLFO",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291949400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Pastrana Monrabal, HHA
• Christian Pastrana
• Kristy Pastrana
• Daphney M Pata, PHARMD
• Pataky Medical Center Inc
• Nicole Terese Patalano-Bice
• Sherri Patchen, ARNP
• Ruchi Patel Egusquiza, M.D.
• Patel Head and Neck Surgery PA (Head & Neck Oncology and Reconstructive Surgery)
• Aakaash Dhruv Patel, MD

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.