Individual provider Active NPI

Ivan Roberto Rodriguez Kalaf, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1205260221
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME128321 Issued in FL
Practice address
12002 SW 128TH CT Ste 204
Miami, FL 33186-4643
Phone
(305) 234-8264
Fax
(305) 255-1752
NPI assigned
Aug 27, 2013
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME128321 FL Primary

Addresses

Primary practice location

12002 SW 128TH CT Ste 204
Miami, FL 33186-4643

Mailing address

PO Box 440728
Miami, FL 33144-0728
Phone (305) 234-8264

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
I20200131000671 FL Practitioner - Internal Medicine 1850688821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12002 SW 128 CT
Suite 204
Miami, FL 33186-4643
Phone (305) 234-8264

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivan R Rodriguez MD PA Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Ivan Espaillat MD PA Internal Medicine PastSince Feb 16, 2020 Accepting new patients

Locations

12002 SW 128th Ct
Ste 204
Miami, FL 33186
Phone (305) 234-8264

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1205260221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440728",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440728",
            "telephone_number": "305-234-8264",
            "fax_number": "305-255-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864643",
            "telephone_number": "305-234-8264",
            "fax_number": "305-255-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ KALAF",
        "first_name": "IVAN",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME128321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.