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Individual provider Active NPI

Urairong Rattanakorn, N.P.

  • Adult Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1104018589
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3159562 Issued in FL
Practice address
14001 NW 4TH St
#202
Pembroke Pines, FL 33028-2297
Phone
(954) 391-9687
Fax
(954) 391-9687
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3159562 FL Primary

Addresses

Primary practice location

14001 NW 4TH St
#202
Pembroke Pines, FL 33028-2297

Mailing address

14001 NW 4TH St
#202
Pembroke Pines, FL 33028-2297
Phone (954) 391-9687

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
I20100909001161 FL Practitioner - Nurse Practitioner 7315023942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuel a Ojeda MD PAGroup PAC ID 0547261760, 2 clinicians

Practice addresses (Care Compare)

201 NE 112TH St
Sinai Plaza Nur
Miami, FL 33161-7022
Phone (305) 899-4700

955 NW 3Rd St
Miami, FL 33128-1274

955 Nw3Rd St
Miami, FL 33128-1274
Phone (305) 416-5700

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Keralty Hospital Hospital, Miami, FL, CCN 100284

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
71.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3159562FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel a Ojeda MD PA CurrentSince Jan 4, 2010 Accepting new patients
Alberto Alea M D P a CurrentSince Dec 20, 2010 Accepting new patients
Urairong Rattanakorn Arnp Inc CurrentSince Dec 4, 2009 Accepting new patients
Subspecialists of South Florida LLC Past Accepting new patients
Luis Mendez-Mulet MD PA Past Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

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

201 NE 112th St
North Miami, FL 33161
Phone (305) 899-4700

Organizations & group practices 5

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1104018589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 NW 4TH ST",
            "address_2": "#202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282297",
            "telephone_number": "954-391-9687",
            "fax_number": "954-391-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 NW 4TH ST",
            "address_2": "#202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282297",
            "telephone_number": "954-391-9687",
            "fax_number": "954-391-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANAKORN",
        "first_name": "URAIRONG",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "3159562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.