NPIMap

Individual provider Active NPI

Milton Rodrigo Bengoa, M. D

  • Internal Medicine Physician
  • Homestead, FL
National Provider Identifier
1033166806
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69889 Issued in FL
Practice address
925 NE 30TH Ter
Suite 210
Homestead, FL 33033-7613
Phone
(305) 248-9488
Fax
(305) 248-9557
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME69889 FL Primary

Addresses

Primary practice location

925 NE 30TH Ter
Suite 210
Homestead, FL 33033-7613

Mailing address

925 NE 30TH Ter Ste 210
Homestead, FL 33033-7614
Phone (305) 248-9488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001156 FL Practitioner - Internal Medicine 5991782534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Universal Therapy Center IncGroup PAC ID 4486732153, 40 clinicians
Milton Bengoa MD PAGroup PAC ID 1850306804, 2 clinicians

Practice addresses (Care Compare)

7223 Coral Way
Miami, FL 33155-1401
Phone (305) 264-0470

925 NE 30 Terrace
Suite 210
Homestead, FL 33033-7614
Phone (305) 248-9488

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Bengoa MD PA Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

925 NE 30th Ter
Ste 210
Homestead, FL 33033
Phone (305) 248-9488

45 NW 8th St
Ste 105
Homestead, FL 33030
Phone (305) 246-0210

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1033166806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER STE 210",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337614",
            "telephone_number": "305-248-9488",
            "fax_number": "305-248-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 210",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-248-9488",
            "fax_number": "305-248-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGOA",
        "first_name": "MILTON",
        "middle_name": "RODRIGO",
        "name_prefix": "Dr.",
        "credential": "M. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.