Individual provider Active NPI

Richard D Nadal, MD

  • Plastic Surgery Physician
  • Key Biscayne, FL
National Provider Identifier
1124225529
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 41312 Issued in FL
Practice address
580 Crandon Blvd
Suite 102
Key Biscayne, FL 33149-1832
Phone
(305) 365-5595
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 010284 PR
Plastic Surgery Physician 208200000X ME 41312 FL Primary

Addresses

Primary practice location

580 Crandon Blvd
Suite 102
Key Biscayne, FL 33149-1832

Mailing address

51 Bay Heights Dr
Miami, FL 33133-2631
Phone (787) 507-4422

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
I20140801002199 FL Practitioner - Plastic and Reconstructive Surgery 7416173109 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 41312FLMDPlastic Surgery Physician
010284PRMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Breast Center LLC CurrentSince Apr 21, 2014 Accepting new patients
Susana Leal-Khouri, Mdpa CurrentSince May 1, 2015 Accepting new patients
Bella Aurora Pacheco MD PA Plastic Surgery Past Accepting new patients

Locations

580 Crandon Blvd
Ste 201
Key Biscayne, FL 33149
Phone (305) 365-5595

580 Crandon Blvd
Ste 102
Key Biscayne, FL 33149
Phone (305) 365-5595

580 Crandon Blvd
Ste 101
Key Biscayne, FL 33149
Phone (305) 361-8200

580 Crandon Blvd
Fl 1
Key Biscayne, FL 33149
Phone (305) 365-5595

7300 N Kendall Dr
Ste 201
Miami, FL 33156
Phone (786) 270-3900

Interoperability endpoints

  • Direct secure messaging: sjcrnadal@yourcarecommunity.org

Organizations & group practices 3

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1124225529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BAY HEIGHTS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332631",
            "telephone_number": "787-507-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CRANDON BLVD",
            "address_2": "SUITE 102",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491832",
            "telephone_number": "305-365-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAL",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PR",
            "license": "010284",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 41312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Biscayne, FL

Sources for this page

Verify at the official NPI Registry.