Individual provider Active NPI

William Rengifo Cam, MD

  • Gastroenterology Physician
  • New Smyrna Beach, FL
National Provider Identifier
1154551653
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME124828 Issued in FL
Practice address
501 Live Oak St Ste B
New Smyrna Beach, FL 32168-7300
Phone
(386) 424-5248
Fax
(386) 424-5209
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME124828 FL
Gastroenterology Physician 207RG0100X ME124828 FL Primary

Addresses

Primary practice location

501 Live Oak St Ste B
New Smyrna Beach, FL 32168-7300

Mailing address

501 Live Oak St Ste B
New Smyrna Beach, FL 32168-7300
Phone (386) 424-5248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151009001793 FL Practitioner - Gastroenterology 5294043378 Reassigns benefits to 2 organizations
I20190718001629 WI Practitioner - Gastroenterology 5294043378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

1801 NE 123Rd St
North Miami, FL 33181-2817
Phone (305) 654-6850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Clinic Inc CurrentSince Jun 24, 2019 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Jun 24, 2019 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 3, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jun 24, 2019 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Jeffrey H. Garelick, MD PA Gastroenterology CurrentSince Nov 16, 2015 Accepting new patients
Gastro Health, LLC Gastroenterology CurrentSince Jul 1, 2017 Accepting new patients
Public Health Trust of Miami Dade County Florida Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

8200 SW 117th Ave
Ste 110
Miami, FL 33183
Phone (305) 274-5500

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Ste 206
Miami, FL 33136
Phone (786) 466-8490

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

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

1801 NE 123rd St
Ste 411
North Miami, FL 33181

100 NW 170th St
Ste 410
North Miami Beach, FL 33169
Phone (305) 585-6969

3370 Burns Rd
Ste 104
Palm Beach Gardens, FL 33410
Phone (561) 691-0320

2001 N Flagler Dr
West Palm Beach, FL 33407
Phone (561) 659-6543

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1154551653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LIVE OAK ST STE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687300",
            "telephone_number": "386-424-5248",
            "fax_number": "386-424-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LIVE OAK ST STE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687300",
            "telephone_number": "386-424-5248",
            "fax_number": "386-424-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGIFO CAM",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124828",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME124828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.