Individual provider Active NPI

Romulo Clavelo, M.D.P.A.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1063484913
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90231 Issued in FL
Practice address
1325 SW 1St St
Miami, FL 33135-2301
Phone
(305) 631-0470
NPI assigned
Feb 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME90231 FL Primary

Addresses

Primary practice location

1325 SW 1St St
Miami, FL 33135-2301

Mailing address

PO Box 560832
Miami, FL 33256-0832
Phone (305) 631-0470

Other identifiers 1

IdentifierTypeStateIssuer
266250700MedicaidFL

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
I20040727000889 FL Practitioner - General Practice 0345210506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 SW 1St St
Miami, FL 33135-2301

Hospital & facility affiliations

  • Excellent Care Home Health Services, Inc Home health agency, Miami, FL, CCN 109068
  • Assis Professional Home Health Inc Home health agency, Miami, FL, CCN 109404
  • Omni Home Care Agency Inc Home health agency, Miami, FL, CCN 109497
  • L&a Angel Care Inc Home health agency, Miami, FL, CCN 687160
  • Bristol Hospice - Miami Dade, LLC Hospice, Miami, FL, CCN 101558
  • Coral Gables Hospital Hospital, Coral Gables, FL, CCN 100183
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Select Specialty Hospital-Miami Long-term care hospital, Miami, FL, CCN 102001
  • Floridean Health & Rehabilitation Center Nursing home, Miami, FL, CCN 106007
  • Victoria Nursing & Rehabilitation Center, Inc. Nursing home, Miami, FL, CCN 106031

Merit-based Incentive Payment System (MIPS)

Final score
88.57 of 100Reported as individual
Quality
67.58
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Romulo Clavelo M D P a General Practice CurrentSince Sep 11, 2009 Accepting new patients

Locations

1325 SW 1st St
Miami, FL 33135
Phone (305) 631-0470

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

78 SW 13th Ave
Ste 201
Miami, FL 33135
Phone (305) 631-0470

Organizations & group practices 1

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 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": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1063484913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560832",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332560832",
            "telephone_number": "305-631-0470",
            "fax_number": "305-631-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SW 1ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352301",
            "telephone_number": "305-631-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVELO",
        "first_name": "ROMULO",
        "name_prefix": "Dr.",
        "credential": "M.D.P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266250700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.