NPIMap

Individual provider Active NPI

Grigoriy Leonidovich Rapoport, M.D.

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1063807261
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME154113 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-6479
NPI assigned
Apr 3, 2015
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME154113 FL
Gastroenterology Physician 207RG0100X ME154113 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Miami, FL 33136-1005
Phone (305) 585-6479

Other practice location 1

9333 SW 152nd St Ste 240
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

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
I20220422001051 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 4183919756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1295 NW 14TH St
South BLDG Stes K L and M
Miami, FL 33125-1610
Phone (305) 585-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.92 of 100Reported as group
Quality
60.62
Promoting interoperability
100
Improvement activities
40
Cost
81.4

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME154113FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
University of Miami Gastroenterology CurrentSince Sep 1, 2024 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Jul 2, 2018 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Feb 28, 2023 Accepting new patients
The University of Texas Rio Grande Valley Internal Medicine Current Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Feb 28, 2023 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

825 Meadows Rd
Ste 112
Boca Raton, FL 33486
Phone (561) 241-8668

6646 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 637-4125

6646 Atlantic Ave
Ste 100
Delray Beach, FL 33446
Phone (561) 495-0660

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1295 NW 14th St
Bldg Stes
Miami, FL 33125

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

9333 SW 152nd St
Ste 240
Palmetto Bay, FL 33157
Phone (305) 251-2500

5423 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3575

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: grapoport145076@direct.med.miami.edu

Organizations & group practices 8

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1063807261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9333 SW 152nd St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571778",
            "country_code": "US",
            "telephone_number": "305-251-2500",
            "fax_number": "305-256-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "GRIGORIY",
        "middle_name": "LEONIDOVICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME154113",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME154113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.