Individual provider Active NPI

Ruchi Patel Egusquiza, M.D.

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1114218138
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME134557 Issued in FL
Practice address
14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone
(305) 378-1302
Fax
(305) 383-5314
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME134557 FL Primary

Addresses

Primary practice location

14261 SW 120TH St Ste 112
Miami, FL 33186-7273

Mailing address

14261 SW 120TH St Ste 112
Miami, FL 33186-7273
Phone (305) 378-1302

Other identifiers 1

IdentifierTypeStateIssuer
100106300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpatel215510@MHSDIRECT.NET Direct

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
I20180821003139 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5799034971 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 1, 2019 Accepting new patients
South Broward Hospital District Interventional Cardiology CurrentSince Aug 1, 2019 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Sep 15, 2018 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Sep 15, 2018 Accepting new patients
South Broward Hospital District Current Accepting new patients

Locations

316 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-2277

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rpatel215510@mhsdirect.net

Organizations & group practices 6

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1114218138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14261 SW 120TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867273",
            "telephone_number": "305-378-1302",
            "fax_number": "305-383-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL EGUSQUIZA",
        "first_name": "RUCHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME134557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatel215510@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave Ste 605",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.