Individual provider Active NPI

Rodolfo Dumenigo, M.D.

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1003865213
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME58111 Issued in FL
Practice address
1200 Alton Rd
Miami Beach, FL 33139-3810
Phone
(305) 534-0076
NPI assigned
May 8, 2006
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME58111 FL Primary
Cardiovascular Disease Physician 207RC0000X ME58111 FL

Addresses

Primary practice location

1200 Alton Rd
Miami Beach, FL 33139-3810

Mailing address

1400 NW 107TH Ave Ste 500
Sweetwater, FL 33172-2746
Phone (305) 534-0072

Other practice location 1

7291 Atlantic Ave
Delray Beach, FL 33446-1305
Phone (305) 534-0076

Other practice location 2

205 1st St S
Winter Haven, FL 33880-3204
Phone (305) 534-0076

Other practice location 3

750 S Federal Hwy
Hollywood, FL 33020-5424
Phone (305) 534-0076

Other practice location 4

2417 US Highway 98 N
Lakeland, FL 33805-2410
Phone (305) 534-0076

Other practice location 5

7500 SW 8th St
Miami, FL 33144-4400
Phone (305) 534-0076

Other practice location 6

551 E 49th St
Hialeah, FL 33013-1904
Phone (305) 534-0076

Other practice location 7

151 NW 11th St Ste E102
Homestead, FL 33030-4350
Phone (305) 534-0076

Other practice location 8

12550 Biscayne Blvd Ste 100
North Miami, FL 33181-2536
Phone (305) 534-0076

Other identifiers 2

IdentifierTypeStateIssuer
374368300MedicaidFL
11761ROtherFLMEDICARE

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
I20100201000801 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8123010535 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58111FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Medical & Wellness Center LLC Current Accepting new patients
Miami Beach Medical Consultants, LLC. Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Radiology Associates of South Florida LLC Past Accepting new patients
Miami Beach Medical Group, LLC Cardiovascular Disease PastSince May 1, 2006 Accepting new patients

Locations

7291 Atlantic Ave
#48
Delray Beach, FL 33446
Phone (561) 344-1130

551 E 49th St
Hialeah, FL 33013
Phone (305) 221-4994

551 E 49th St
Ste 18
Hialeah, FL 33013
Phone (305) 245-9990

750 S Federal Hwy
Hollywood, FL 33020
Phone (954) 342-8800

151 NW 11th St
Ste E102
Homestead, FL 33030
Phone (305) 248-4877

2417 US Highway 98 N
Lakeland, FL 33805
Phone (863) 821-0030

7500 SW 8th St
Miami, FL 33144
Phone (305) 265-9686

7500 SW 8th St
Ste 400
Miami, FL 33144

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

12550 Biscayne Blvd
Ste 100
North Miami, FL 33181
Phone (305) 899-7090

1400 NW 107th Ave
Ste 500
Sweetwater, FL 33172
Phone (786) 534-4285

Interoperability endpoints

  • Direct secure messaging: rdumenigo@mbmg.directbygreenway.com

Organizations & group practices 8

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1003865213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 107TH AVE STE 500",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722746",
            "telephone_number": "305-534-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393810",
            "telephone_number": "305-534-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7291 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334461305",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803204",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330205424",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 US Highway 98 N",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052410",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331444400",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 E 49th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330131904",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 NW 11th St Ste E102",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304350",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12550 Biscayne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331812536",
            "country_code": "US",
            "telephone_number": "305-534-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMENIGO",
        "first_name": "RODOLFO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME58111",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME58111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374368300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "11761R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.