Individual provider Active NPI

Rachael Bloomfield, DO

  • Nephrology Physician
  • Coral Springs, FL
National Provider Identifier
1245262575
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
05057 Issued in FL
Practice address
722 Riverside Dr
Coral Springs, FL 33071-7008
Phone
(954) 345-4333
Fax
(954) 345-4334
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 05057 FL Primary

Addresses

Primary practice location

722 Riverside Dr
Coral Springs, FL 33071-7008

Mailing address

722 Riverside Dr
Coral Springs, FL 33071-7008
Phone (954) 345-4333

Other identifiers 1

IdentifierTypeStateIssuer
045293900MedicaidFL

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
I20110120000473 FL Practitioner - Nephrology 2365429115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

722 Riverside Dr
Coral Springs, FL 33071-7008
Phone (954) 345-4333

Hospital & facility affiliations

  • FMC - Coral Springs Dialysis facility, Pompano Beach, FL, CCN 102855

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05057FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Jul 1, 2020 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Jul 1, 2020 Accepting new patients

Locations

722 Riverside Dr
Coral Springs, FL 33071
Phone (954) 345-4333

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

8251 W Broward Blvd
Ste 100
Plantation, FL 33324
Phone (954) 908-1024

850 Riverside Dr
Pompano Beach, FL 33071
Phone (954) 340-3353

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachael.bloomfield.1@15644.direct.athenahealth.com

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 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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1245262575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717008",
            "telephone_number": "954-345-4333",
            "fax_number": "954-345-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 RIVERSIDE DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717008",
            "telephone_number": "954-345-4333",
            "fax_number": "954-345-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "RACHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "05057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045293900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.