Individual provider Active NPI

Cesar A Randich, M.D.

  • Infectious Disease Physician
  • Lighthouse Point, FL
National Provider Identifier
1184679508
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME75583 Issued in FL
Practice address
4500N Federal Hwy 113B
Lighthouse Point, FL 33064-6521
Phone
(954) 547-2510
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME75583 FL Primary

Addresses

Primary practice location

4500N Federal Hwy 113B
Lighthouse Point, FL 33064-6521

Mailing address

4500N Federal Hwy 113B
Lighthouse Point, FL 33064-6521
Phone (954) 547-2510

Other identifiers 1

IdentifierTypeStateIssuer
254089400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110226000097 FL Practitioner - Infectious Disease 2668653429 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants PA Infectious Disease CurrentSince Jul 1, 1998 Accepting new patients
Dr Arthur B Korbel Inc Past Accepting new patients

Locations

9750 NW 33rd St
Ste 107
Coral Springs, FL 33065
Phone (954) 341-1171

2901 Coral Hills Dr
Ste 220
Coral Springs, FL 33065
Phone (954) 345-0404

3100 Coral Hills Dr
Ste 205
Coral Springs, FL 33065
Phone (954) 341-1520

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1184679508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500N FEDERAL HWY 113B",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646521",
            "telephone_number": "954-547-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500N FEDERAL HWY 113B",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646521",
            "telephone_number": "954-547-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDICH",
        "first_name": "CESAR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME75583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254089400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.