Individual provider Active NPI

Daniel Andrew Roquiz, M.D.

  • Family Medicine Physician
  • Sebring, FL
National Provider Identifier
1295041986
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME142720 Issued in FL
Practice address
935 Mall Ring Rd
Sebring, FL 33870-8515
Phone
(863) 314-4466
NPI assigned
Aug 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A122899 CA
Family Medicine Physician 207Q00000X M12502 ID
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME142720 FL Primary

Addresses

Primary practice location

935 Mall Ring Rd
Sebring, FL 33870-8515

Mailing address

935 Mall Ring Rd
Sebring, FL 33870-8515
Phone (863) 314-4466

Other practice location 1

265 W Prairie Shopping Ctr
Hayden, ID 83835-9855
Phone (208) 772-7850

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
I20200602001518 FL Practitioner - Family Practice 7214157585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, shared by 8 NPIs, 100 clinicians

Practice addresses (Care Compare)

1006 W Pleasant St
Avon Park, FL 33825-2966
Phone (863) 453-3121

1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777

4325 Sun N Lake Blvd
Sebring, FL 33872-2171

4421 Sun N Lake Blvd
Sebring, FL 33872-2172
Phone (863) 382-2225

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Bradenton, FL, CCN 687173
  • Concierge Home Care Home health agency, Tampa, FL, CCN 108019
  • Adventhealth Home Health Home health agency, Sebring, FL, CCN 107345
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122899CAMDFamily Medicine Physician
ME142720FLMDFamily Medicine Physician
M12502IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Adventist Health System-Sunbelt Inc Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Adventist Health System-Sunbelt Inc Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Adventist Health System-Sunbelt Inc Single Specialty Past Accepting new patients

Locations

1006 W Pleasant St
Avon Park, FL 33825
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4421 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 382-9600

935 Mall Ring Rd
Sebring, FL 33870
Phone (863) 382-2225

6325 US 27 N
Ste 201
Sebring, FL 33870
Phone (863) 382-9600

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Interoperability endpoints

  • Direct secure messaging: droquiz621035@adventhealth.direct-ci.com

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 7

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": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1295041986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-314-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-314-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 W Prairie Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Hayden",
            "state": "ID",
            "postal_code": "838359855",
            "country_code": "US",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROQUIZ",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122899",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M12502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME142720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.