Individual provider Active NPI

Johan Garcia Rodriguez, ARNP

  • Family Nurse Practitioner
  • West Miami, FL
National Provider Identifier
1073971024
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9388776 Issued in FL
Practice address
1350 SW 57TH Ave
Suite 210
West Miami, FL 33144-5775
Phone
(305) 441-0744
Fax
(305) 262-8771
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9388776 FL Primary

Addresses

Primary practice location

1350 SW 57TH Ave
Suite 210
West Miami, FL 33144-5775

Mailing address

8181 NW 154TH St
Suite 200
Miami Lakes, FL 33016-5881
Phone (305) 558-3724

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johangarciarodriguez@sfa.allscriptsdirect.net Florida ENT Associates, Inc.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427001267 FL Practitioner - Nurse Practitioner 5294034187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

1350 SW 57TH Ave
Suite 210
West Miami, FL 33144-5768
Phone (305) 441-0744

Merit-based Incentive Payment System (MIPS)

Final score
70.4 of 100Reported as group
Quality
47.82
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9388776FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. CurrentSince Mar 6, 2017 Accepting new patients

Locations

8726 NW 26th St
Ste 3
Doral, FL 33172
Phone (305) 994-1825

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

1350 SW 57th Ave
Ste 210
West Miami, FL 33144
Phone (305) 441-0744

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.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1073971024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 154TH ST",
            "address_2": "SUITE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165881",
            "telephone_number": "305-558-3724",
            "fax_number": "786-260-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 210",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-441-0744",
            "fax_number": "305-262-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RODRIGUEZ",
        "first_name": "JOHAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9388776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johangarciarodriguez@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "Florida ENT Associates, Inc.",
            "address_1": "1350 SW 57th Ave",
            "address_2": "Suite 210",
            "city": "West Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331445775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

Verify at the official NPI Registry.