Roberto Fogel, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME134227 Issued in FL

Practice address

5065 S State Road 7 Ste 201
Lake Worth, FL 33449-5439

Phone

(561) 753-7487

Fax

(561) 753-8161

NPI assigned

Apr 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Gastroenterology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eisenman and Eisenman M.D.,LLCGroup PAC ID 9335162700, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFBCAA/Endpoint/JFBCAA

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.

• Eisenman & Eisenman,M.D.,LLC

  • Gastroenterology Physician
  • Lake Worth, FL
  • NPI 1225062243
  Medicare reassignment Care Compare group NPD
• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• University of Miami

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1124768627
  NPD

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

• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1083033765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 S STATE ROAD 7 STE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495439",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 S STATE ROAD 7 STE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495439",
            "telephone_number": "561-753-7487",
            "fax_number": "561-753-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-06-15",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "MFC1715",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME134227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL",
            "identifier": "14U55",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011063400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Rehabilitation Services
• Florida Urgent Care Centers, LLC.
• Flow Path Laboratories Inc
• Jeanne Bridget Flynn
• FNS LLC
• Hew Bun Fong
• Jennifer J Fontaine, D.D.S.
• Footcare Store Inc
• Bryan Ford, DC
• Lidia Forero

• Gastroenterology Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.