Active NPI
Cesare Rzadkowolski Raoli, M.D.
- Psychiatry Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME60415
- Practice address
- 12315 SW 64TH Ave
Miami, FL 33156-5538 - Phone
- (305) 631-0202
- Fax
- (305) 668-6277
- NPI assigned
- Mar 5, 2007
- Last updated
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME60415 | FL | Primary |
Addresses
Primary practice location
12315 SW 64TH Ave
Miami, FL 33156-5538
Mailing address
2001 NW 7TH St
Suite 300
Miami, FL 33125-3479
Phone (305) 631-0202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME60415 | Other | FL | STATE LICENSE NUMBER |
| 14460 | Other | FL | BCBS PROVIDER NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 W 50TH St
Suite 301
Hialeah, FL 33012-3411
Phone (305) 827-0208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60415 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Collaborative Care Solutions, LLC | Psychiatry | Current | Accepting new patients |
| Wellness Therapy & Medical Care Center Inc | Current | Accepting new patients | |
| Acevedo Medical Care Group Inc | Past | Accepting new patients | |
| Complete Medical Rehab & Family | Past | Accepting new patients |
Locations
1140 W 50th St
Ste 301
Hialeah, FL 33012
Phone (305) 558-2930
9000 SW 137th Ave
Ste 103
Miami, FL 33186
Phone (305) 671-3503
8040 NW 155th St
Miami Lakes, FL 33016
Phone (305) 827-0208
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Hialeah, FL
- NPI 1689984932
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1487196010
Psychiatry
-
- General Practice Physician
- Miami, FL
- NPI 1588756001
-
- General Practice Physician
- Miami, FL
- NPI 1871533737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1306975305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 NW 7TH ST",
"address_2": "SUITE 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331253479",
"telephone_number": "305-631-0202",
"fax_number": "305-668-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 SW 64TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331565538",
"telephone_number": "305-631-0202",
"fax_number": "305-668-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RZADKOWOLSKI RAOLI",
"first_name": "CESARE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME60415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "ME60415",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "14460",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.