Individual provider Active NPI

Ricardo J Roman, MD

  • Gastroenterology Physician
  • North Miami Beach, FL
National Provider Identifier
1124001334
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0046568 Issued in FL
Practice address
16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744
Phone
(305) 770-0062
Fax
(305) 770-1060
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0046568 FL Primary

Addresses

Primary practice location

16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744

Mailing address

16855 NE 2ND Ave
Suite 202
North Miami Beach, FL 33162-1744
Phone (305) 770-0062

Other identifiers 1

IdentifierTypeStateIssuer
062388100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0046568FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Gi Group of South Florida PA Gastroenterology Current Accepting new patients

Locations

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

16855 NE 2nd Ave
Ste 202
North Miami Beach, FL 33162
Phone (305) 770-0062

Interoperability endpoints

  • Direct secure messaging: ricardoroman@directaddress.net

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1124001334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 202",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-770-0062",
            "fax_number": "305-770-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16855 NE 2ND AVE",
            "address_2": "SUITE 202",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621744",
            "telephone_number": "305-770-0062",
            "fax_number": "305-770-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RICARDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0046568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062388100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.