Individual provider Active NPI

Roman Edward Skylar, MD

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1235118951
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME85138 Issued in FL
Practice address
209 N Atlantic Blvd
Apt.2C
Fort Lauderdale, FL 33304-4365
Phone
(954) 463-8237
Fax
(954) 463-8237
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME85138 FL Primary

Addresses

Primary practice location

209 N Atlantic Blvd
Apt.2C
Fort Lauderdale, FL 33304-4365

Mailing address

209 N Atlantic Blvd
Apt.2C
Fort Lauderdale, FL 33304-4365
Phone (954) 463-8237

Other identifiers 2

IdentifierTypeStateIssuer
264816400MedicaidFL
51970OtherFLBCBS

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
I20040105000668 FL Practitioner - Emergency Medicine 0244139624 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85138FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Sheridan Emergency Physician Services of South Dade Inc Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Elite Medical Services at Lakeside LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Gilford Sound Emergency Physicians LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Gulfstream Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1235118951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N ATLANTIC BLVD",
            "address_2": "APT.2C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044365",
            "telephone_number": "954-463-8237",
            "fax_number": "954-463-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N ATLANTIC BLVD",
            "address_2": "APT.2C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044365",
            "telephone_number": "954-463-8237",
            "fax_number": "954-463-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYLAR",
        "first_name": "ROMAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME85138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264816400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51970",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.