Individual provider Active NPI

Rodolfo Fausto Barroso, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1114079720
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98580 Issued in FL
Practice address
11011 Sheridan Street
Suite 302
Hollywood, FL 33026-1532
Phone
(954) 437-1500
Fax
(954) 437-0136
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME98580 FL Primary

Addresses

Primary practice location

11011 Sheridan Street
Suite 302
Hollywood, FL 33026-1532

Mailing address

11011 Sheridan Street
Suite 302
Cooper City, FL 33026-1532
Phone (954) 437-1500

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
I20070924000721 FL Practitioner - Internal Medicine 6406940279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange Care Physician Partners of Florida, LLCGroup PAC ID 8527470806, 3 clinicians

Practice addresses (Care Compare)

14750 NW 77TH CT
Suite 308
Miami Lakes, FL 33016-1537
Phone (954) 437-1500

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Care Physician Partners of Florida, LLC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients

Locations

11011 Sheridan St
Ste 302
Hollywood, FL 33026
Phone (954) 437-1500

14750 NW 77th Ct
Ste 308
Miami Lakes, FL 33016
Phone (786) 363-8500

Interoperability endpoints

  • Direct secure messaging: rodolfo.barroso.1@23259.direct.athenahealth.com

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 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1114079720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN STREET",
            "address_2": "SUITE 302",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330261532",
            "telephone_number": "954-437-1500",
            "fax_number": "954-437-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN STREET",
            "address_2": "SUITE 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261532",
            "telephone_number": "954-437-1500",
            "fax_number": "954-437-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROSO",
        "first_name": "RODOLFO",
        "middle_name": "FAUSTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.