Individual provider Active NPI

Roman Luis Malagon, MSN, APRN

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1205307808
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000237 Issued in FL
Practice address
9535 SW 187TH St
Cutler Bay, FL 33157-7861
Phone
(786) 287-3126
Fax
(786) 549-0172
NPI assigned
Dec 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000237 FL Primary

Addresses

Primary practice location

9535 SW 187TH St
Cutler Bay, FL 33157-7861

Mailing address

9535 SW 187TH St
Cutler Bay, FL 33157-7861
Phone (786) 287-3126

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008003892 FL Practitioner - Nurse Practitioner 1355672122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

13101 S Dixie Hwy
Suite 420
Miami, FL 33156-6529
Phone (305) 412-5777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Sep 15, 2019 Accepting new patients

Locations

20989 Old Cutler Rd
Cutler Bay, FL 33189
Phone (786) 595-1750

12314 SW 127th Ave
Miami, FL 33186
Phone (305) 333-5230

13101 S Dixie Hwy
Ste 420
Pinecrest, FL 33156
Phone (786) 204-4202

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Organizations & group practices 1

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 1

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": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1205307808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 SW 187TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577861",
            "telephone_number": "786-287-3126",
            "fax_number": "786-549-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 SW 187TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577861",
            "telephone_number": "786-287-3126",
            "fax_number": "786-549-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS MALAGON",
        "first_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.