Individual provider Active NPI

Rommel R Morales, MD

  • Pediatrics Physician
  • Miami, FL
National Provider Identifier
1124081120
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME61353 Issued in FL
Practice address
11410 N Kendall Dr
Suite B210
Miami, FL 33176-1031
Phone
(305) 596-4123
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME61353 FL Primary

Addresses

Primary practice location

11410 N Kendall Dr
Suite B210
Miami, FL 33176-1031

Mailing address

11410 N Kendall Dr
Suite B210
Miami, FL 33176-1031
Phone (305) 596-4123

Other identifiers 14

IdentifierTypeStateIssuer
001709OtherFLNHP
18440OtherFLBLUE CROSS BLUE SHIELD
N220289OtherFLWELLCARE
21086504290OtherFLBEECHSTREET
29864OtherFLCOVENTRY
214769OtherFLAVMED
SG030245OtherFLVISTA
107436OtherFLHUMANA
371564700MedicaidFL
4251841OtherFLAETNA
3943660007OtherFLCIGNA
1056700OtherFLUNITED HEALTHCARE
200756OtherFLAMERIGROUP
732262OtherFLFIRST HEALTH

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
I20191227000624 FL Practitioner - Pediatric Medicine 9739513789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME61353FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc. CurrentSince Dec 4, 2019 Accepting new patients
Community Health of South Florida, Inc CurrentSince Dec 4, 2019 Accepting new patients
Community Health of South Florida, Inc. Past Accepting new patients
Rommel R. Morales M.D., P.a. Pediatrics Past Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

228 Atlantic Blvd
Key Largo, FL 33037
Phone (305) 743-0383

2805 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-4000

91200 Overseas Hwy
Ste 17
Tavernier, FL 33070
Phone (305) 853-0002

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1124081120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 N KENDALL DR",
            "address_2": "SUITE B210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761031",
            "telephone_number": "305-596-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 N KENDALL DR",
            "address_2": "SUITE B210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761031",
            "telephone_number": "305-596-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ROMMEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME61353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "001709",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18440",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "N220289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21086504290",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "29864",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "214769",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG030245",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "107436",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371564700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4251841",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3943660007",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1056700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "200756",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "732262",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.