Individual provider Active NPI

Alfredo Rego, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Doral, FL
National Provider Identifier
1215934435
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME82945 Issued in FL
Practice address
3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658
Phone
(305) 406-3596
Fax
(305) 406-3599
NPI assigned
Jul 1, 2005
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME82945 FL Primary

Addresses

Primary practice location

3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658

Mailing address

3650 NW 82ND Ave
Suite 208
Doral, FL 33166-6658
Phone (305) 406-3596

Other identifiers 1

IdentifierTypeStateIssuer
262590300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALFREDO.REGO@hca4.eclinicaldirectplus.com

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
I20040426001863 FL Practitioner - Thoracic Surgery 0547162943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 475-9535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)19
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82945FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2021 Accepting new patients
Treasure Coast Thoracic Surgery, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 2008 Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Aventura Cardiovascular Surgeons LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

21150 Biscayne Blvd
Ste 206
Aventura, FL 33180
Phone (305) 384-6100

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

8251 W Broward Blvd
Ste 300
Plantation, FL 33324
Phone (954) 475-9535

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1215934435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 208",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-406-3596",
            "fax_number": "305-406-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 82ND AVE",
            "address_2": "SUITE 208",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666658",
            "telephone_number": "305-406-3596",
            "fax_number": "305-406-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGO",
        "first_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME82945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262590300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALFREDO.REGO@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3650 NW 82nd Ave",
            "address_2": "SUITE 208",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331666658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.