Individual provider Active NPI

Robert Alexander Cordo, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1265997308
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002729 Issued in FL
Practice address
11750 SW 40TH St
Miami, FL 33175-3530
Phone
(305) 223-3000
NPI assigned
Feb 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN3389152 FL
Neuroscience Registered Nurse 163WN0800X RN3389152 FL
Nurse Practitioner 363L00000X APRN11002729 FL Primary

Addresses

Primary practice location

11750 SW 40TH St
Miami, FL 33175-3530

Mailing address

PO Box 7623
Naples, FL 34101-7623
Phone (305) 712-7229

Other practice location 1

3661 S Miami Ave Ste 1001
Miami, FL 33133-4214
Phone (305) 712-7229

Other practice location 2

11760 SW 40th St Ste 529
Miami, FL 33175-8100
Phone (305) 719-7229

Other practice location 3

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Other practice location 4

21110 Biscayne Blvd Ste 201
Aventura, FL 33180-1251
Phone (305) 712-7229

Other practice location 5

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 472-6600

Other practice location 6

3476 S University Dr
Davie, FL 33328-2000
Phone (954) 475-4400

Other practice location 7

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Other identifiers 5

IdentifierTypeStateIssuer
14641320OtherFLCAQH
Q00222981OtherFLRAILROAD MEDICARE
NF843OtherFLMEDICARE
106757600MedicaidFL
VWEPPOtherFLFLORIDA BLUE (BCBS)

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
I20200707002231 FL Practitioner - Nurse Practitioner 6103249339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

Hospital & facility affiliations

  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN3389152FLMDRegistered Nurse
APRN11002729FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 452-2107

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

3661 S Miami Ave
Ste 1001
Miami, FL 33133
Phone (305) 858-2299

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

11760 SW 40th St
Ste 703
Miami, FL 33175

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

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": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1265997308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7623",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341017623",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 S Miami Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334214",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11760 SW 40th St Ste 529",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331758100",
            "country_code": "US",
            "telephone_number": "305-719-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20900 Biscayne Blvd",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801407",
            "country_code": "US",
            "telephone_number": "305-682-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21110 Biscayne Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801251",
            "country_code": "US",
            "telephone_number": "305-712-7229",
            "fax_number": "305-397-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242701",
            "country_code": "US",
            "telephone_number": "954-472-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3476 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282000",
            "country_code": "US",
            "telephone_number": "954-475-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3663 S Miami Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334253",
            "country_code": "US",
            "telephone_number": "305-854-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDO",
        "first_name": "ROBERT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-03",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3389152",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "FL",
            "license": "RN3389152",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14641320",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00222981",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NF843",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106757600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE (BCBS)",
            "identifier": "VWEPP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.