Active NPI
Rommel R Morales, MD
- Pediatrics Physician
- Miami, FL
National Provider Identifier
1124081120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME61353
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001709 | Other | FL | NHP |
| 18440 | Other | FL | BLUE CROSS BLUE SHIELD |
| N220289 | Other | FL | WELLCARE |
| 21086504290 | Other | FL | BEECHSTREET |
| 29864 | Other | FL | COVENTRY |
| 214769 | Other | FL | AVMED |
| SG030245 | Other | FL | VISTA |
| 107436 | Other | FL | HUMANA |
| 371564700 | Medicaid | FL | |
| 4251841 | Other | FL | AETNA |
| 3943660007 | Other | FL | CIGNA |
| 1056700 | Other | FL | UNITED HEALTHCARE |
| 200756 | Other | FL | AMERIGROUP |
| 732262 | Other | FL | FIRST 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61353 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health of South Florida Inc | Current | Accepting new patients | |
| Community Health of South Florida, Inc. | Current | Accepting new patients | |
| Community Health of South Florida, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1336152347
-
- Pediatrics Physician
- Miami, FL
- NPI 1043609555
-
- Federally Qualified Health Center (FQHC)
- Key Largo, FL
- NPI 1417704198
-
- Federally Qualified Health Center (FQHC)
- Marathon, FL
- NPI 1740443589
-
- Federally Qualified Health Center (FQHC)
- Naranja, FL
- NPI 1023271855
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.