Rodney B. Rengifo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102557 Issued in FL

Practice address

4445 W 16TH Ave
Suite 200
Hialeah, FL 33012-7189

Phone

(786) 691-1110

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aaa Urgent Care LLCGroup PAC ID 3274982913, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Aaa Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tamarac, FL
  • NPI 1245813708
  Medicare reassignment Care Compare group
• Carevantage Medical Centers of Broward at Stirling Road,LLC

  • General Practice Physician
  • Hollywood, FL
  • NPI 1972871937
  Medicare reassignment
• Carevantage Medical Centers of Miami at Hialeah LLC

  • General Practice Physician
  • Hialeah, FL
  • NPI 1982971867
  Medicare reassignment

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1275737306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "STE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127190",
            "telephone_number": "786-691-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "786-691-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGIFO",
        "first_name": "RODNEY",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Therapy Services Inc
• Renaissance Wellness Academy, LLC.
• Renal Carepartners of Hialeah, LLC
• Maria Elena Rendon de Daher, RN,MW,SA-C, EO
• Rene Guerra MD PL
• Renovation Health Medical Center Inc
• Rente Eye Services P a
• Alberto L Rente, OD
• Katy Repiso
• Residencia Casabella Alf Corp.

• Physician Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.