Rafael David Gottenger, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME91263 Issued in FL

Practice address

7330 SW 62ND PL
Suite #205
South Miami, FL 33143-4825

Phone

(305) 669-0900

Fax

(305) 669-0100

NPI assigned

Sep 12, 2005

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive SurgeryAlso: Maxillofacial Surgery

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Miami Hospital Hospital, Miami, FL, CCN 100154

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rafael Gottenger MD PA

  • Plastic Surgery Physician
  • South Miami, FL
  • NPI 1679776462
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Miami Hospital Inc

  • General Acute Care Hospital
  • South Miami, FL
  • NPI 1982688230
  Care Compare affiliation

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1144215617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431900",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332431900",
            "telephone_number": "305-669-0900",
            "fax_number": "305-669-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SW 62ND PL",
            "address_2": "SUITE #205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434825",
            "telephone_number": "305-669-0900",
            "fax_number": "305-669-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTENGER",
        "first_name": "RAFAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME91263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272290900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Manuel Gonzalez Jr., DO
• Yudicel Gonzalez, APRN
• Good Family Home
• Nihja Oliver Gordon, MD
• Hailey Gorman, SLP
• Jo Ann Gottlieb, ARNP
• Nicole L Gottlieb, APRN-C
• Akshay Goyal, M.D.
• Itai Gozlan, M.D.
• Mary Mackenzie Grady

• Plastic Surgery Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.