Individual provider Active NPI

Eric M Rishe, MD

  • Hematology & Oncology Physician
  • Pembroke Pines, FL
National Provider Identifier
1023133550
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME111691 Issued in FL
Practice address
12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone
(917) 570-6945
Fax
(954) 432-6266
NPI assigned
Mar 21, 2007
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME111691 FL Primary

Addresses

Primary practice location

12309 Pembroke Rd
Pembroke Pines, FL 33025

Mailing address

2450 Kensington Blvd
Davie, FL 33325
Phone (917) 570-6945

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
I20210927003257 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8921052317 Reassigns benefits to 1 organization
Practice locations: Pembroke Pines, FL

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew Taub MD PAGroup PAC ID 0749469856, 4 clinicians

Practice addresses (Care Compare)

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 432-6595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME111691FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Taub MD PA Internal Medicine CurrentSince Feb 12, 2024 Accepting new patients

Locations

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1023133550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 KENSINGTON BLVD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33325",
            "telephone_number": "917-570-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "917-570-6945",
            "fax_number": "954-432-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISHE",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME111691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.