Rodolfo Hanabergh, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0065756 Issued in FL

Practice address

7490 SW 23Rd St
201
Miami, FL 33155-1419

Phone

(786) 615-3013

Fax

(786) 953-7514

NPI assigned

Jun 14, 2006

Last updated

Sep 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Village Medical Center, LLCGroup PAC ID 9830508852, 6 clinicians

L.S.L Medical Center, IncGroup PAC ID 6305079815, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJGBDD/Endpoint/GJGBDD

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.

• L.S.L Medical Center, Inc

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1861738197
  Medicare reassignment Care Compare group NPD
• Village Medical Center, LLC.

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1033716279
  Medicare reassignment Care Compare group NPD
• Gomez Behavioral Solution, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1285400515
  Medicare reassignment NPD
• Integrated Comprehensive Urgent Care, LLC.

  • General Practice Physician
  • Hialeah, FL
  • NPI 1568069441
  Medicare reassignment NPD
• One Care Professional Inc

  • Wound Care Registered Nurse
  • Miami, FL
  • NPI 1053109033
  Medicare reassignment NPD
• H Med Corp

  • Family Medicine Physician
  • Aventura, FL
  • NPI 1891811303
  NPD (past) Authorized official
• Nextcare Inc

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1669858924
  Authorized official Same address or phone
• Integrated Comprehensive Urgent Care LLC

  dba Medical Professionals of Miami

  • Medical Oncology Physician
  • Miami, FL
  • NPI 1629896980
  NPD
• East Florida Hospitalists LLC

  • Hospitalist Physician
  • Margate, FL
  • NPI 1457516114
  NPD (past)
• Forever Healthy Living Inc

  • Medical Specialty Clinic/Center
  • Coral Gables, FL
  • NPI 1952797573

  Family Medicine

  NPD (past)
• LTC Hospitalists Inc

  • Hospitalist Physician
  • Fort Lauderdale, FL
  • NPI 1073747721

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1003859315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD STREET",
            "address_2": "201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "786-615-3013",
            "fax_number": "786-953-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST",
            "address_2": "201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551419",
            "telephone_number": "786-615-3013",
            "fax_number": "786-953-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANABERGH",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0065756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hammocks Trauma Center, Inc
• Megan Hammond
• Samar Hammoud
• Han Therapy Services Inc
• Tieran Han
• Hand Center Rehab Inc
• Hand Therapy Associates, Inc
• Handle With Quality & Care,LLC
• Hands of Gaia Ventures Corp
• Hands on ABA LLC

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.