Active NPI
Sergio Rodriguez-Chaple
- Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9292612
- Practice address
- 13925 SW 179TH St
Miami, FL 33177-7743 - Phone
- (786) 237-9124
- NPI assigned
- Aug 27, 2018
- Last updated
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9292612 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9292612 | FL | Primary |
Addresses
Primary practice location
13925 SW 179TH St
Miami, FL 33177-7743
Mailing address
10550 NW 77TH CT Ste 308
Hialeah, FL 33016-2072
Phone (305) 863-2233
Other practice location 1
13925 SW 179th St
Miami, FL 33177-7743
Phone (786) 237-9124
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Miramar, FL 33027
Phone (877) 212-2267
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9292612 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SRC Profesional Corp | Current | Accepting new patients | |
| Complete Care Management Services Aco LLC | Current | Accepting new patients | |
| Polyclinic Health Center Inc | Family Medicine | Current | Accepting new patients |
Locations
299 Alhambra Cir
Ste 210
Coral Gables, FL 33134
Phone (305) 766-4260
625 Commerce Dr
Ste 105
Lakeland, FL 33813
Phone (877) 212-2267
3400 Lakeside Dr
Ste 525
Miramar, FL 33027
Phone (877) 212-2267
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGBIBD
- https://fhir4.healow.com/fhir/r4/FGBIBD/Endpoint/FGBIBD
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Miramar, FL
- NPI 1780197152
-
- Family Medicine Physician
- Coral Gables, FL
- NPI 1831785484
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1447815972
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Miami, FL
- NPI 1982875027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1043791148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10550 NW 77TH CT STE 308",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162072",
"telephone_number": "305-863-2233",
"fax_number": "305-504-8813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13925 SW 179TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331777743",
"telephone_number": "786-237-9124"
}
],
"practiceLocations": [
{
"address_1": "13925 SW 179th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331777743",
"country_code": "US",
"telephone_number": "786-237-9124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ-CHAPLE",
"first_name": "SERGIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "9292612",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9292612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.