NPIMap

Individual provider Active NPI

Reinaldo Rosario, M.D.

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1043312853
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME90872 Issued in FL
Practice address
407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone
(954) 463-0112
Fax
(954) 463-0117
NPI assigned
Sep 2, 2006
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME90872 FL Primary

Addresses

Primary practice location

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113

Mailing address

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

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
I20061013000385 FL Practitioner - Nephrology 1355347303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University Central del Caribe Escuela de Medicina, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as individual
Quality
64.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90872FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jun 11, 2018 Accepting new patients

Locations

407 SE 9th St
Ste 103
Ft Lauderdale, FL 33316
Phone (954) 463-0112

4534 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 493-9774

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

350 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 424-4321

8251 W Broward Blvd
Ste 100
Plantation, FL 33324
Phone (954) 908-1024

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: reinaldo.rosario-rivera.1@15644.direct.athenahealth.com

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 10

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1043312853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "REINALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME90872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.