Individual provider Active NPI

Rhaisa Amelia Dumenigo, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1225248628
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME106033 Issued in FL
Practice address
78 SW 13 Ave
Suite 201
Miami, FL 33135
Phone
(305) 644-5600
Fax
(305) 644-5414
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME106033 FL Primary

Addresses

Primary practice location

78 SW 13 Ave
Suite 201
Miami, FL 33135

Mailing address

78 SW 13 Ave
Suite 201
Miami, FL 33135
Phone (305) 644-5600

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
I20101217000378 FL Practitioner - Psychiatry 1759579790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

78 SW 13TH Ave
Suite 201
Miami, FL 33135-2483
Phone (305) 644-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC CurrentSince Jan 14, 2025 Accepting new patients
QMC LLC CurrentSince Aug 12, 2024 Accepting new patients
Complete Medical Management, LLC. CurrentSince Apr 27, 2021 Accepting new patients
Rhaisa a Dumenigo MD LLC Psychiatry CurrentSince Jul 1, 2010 Accepting new patients

Locations

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

78 SW 13th Ave
Ste 201
Miami, FL 33135
Phone (305) 631-0470

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: wghrdumen@yourcarecommunity.org

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 and National Provider Directory roles.

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1225248628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SW 13 AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-644-5600",
            "fax_number": "305-644-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SW 13 AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33135",
            "telephone_number": "305-644-5600",
            "fax_number": "305-644-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMENIGO",
        "first_name": "RHAISA",
        "middle_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME106033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.