Active NPI
Raul Roa, MD
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME102522
- Practice address
- 1321 NW 14TH St Ste 102
Miami, FL 33125-1653 - Phone
- (305) 545-4980
- Fax
- (305) 545-4913
- NPI assigned
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME102522 | FL | Primary |
Addresses
Primary practice location
1321 NW 14TH St Ste 102
Miami, FL 33125-1653
Mailing address
1321 NW 14TH St Ste 102
Miami, FL 33125-1653
Phone (305) 545-4980
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
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000
Hospital & facility affiliations
- HCA Florida Mercy Hospital
- Keralty Hospital
- Larkin Community Hospital Palm Springs Campus
- Select Specialty Hospital-Miami
- Unity Healthcare and Rehabilitation Center
- Floridean Health & Rehabilitation Center
- Miami Shores Nursing and Rehab Center
- Ponce Health and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roa-Licea MD, PA | Current | Accepting new patients | |
| MG H2 LLC | Current | Accepting new patients | |
| First Docs PC | Current | Accepting new patients | |
| Radial Health Southeast LLC | Current | Accepting new patients | |
| Southern Winds Hospital LLC | Current | Accepting new patients | |
| Vega Health Center Inc | Past | Accepting new patients | |
| QMC LLC | Past | Accepting new patients |
Locations
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
4225 W 20th Ave
Hialeah, FL 33012
Phone (305) 558-9700
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411
1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1321 NW 14th St
Ste 102
Miami, FL 33125
Phone (305) 545-4980
3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
201 Curtiss Pkwy
Miami Springs, FL 33166
Phone (305) 271-6311
201 NE 112th St
North Miami, FL 33161
Phone (305) 899-4700
12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210
1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800
2201 NE 170th St
North Miami Beach, FL 33160
Phone (305) 945-1401
16650 W Dixie Hwy
North Miami Beach, FL 33160
Phone (305) 337-0355
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130
Interoperability endpoints
- wghrjroa@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Specialist
- Miami, FL
- NPI 1033445069
-
- Hospitalist Physician
- Miami, FL
- NPI 1710583976
-
- Physical Medicine & Rehabilitation Physician
- Navarre, FL
- NPI 1174159891
-
- General Practice Physician
- Hialeah, FL
- NPI 1871176222
-
- Hospitalist Physician
- Miami, FL
- NPI 1003216391
-
- Internal Medicine Physician
- Miami, FL
- NPI 1114662137
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Miami, FL
- NPI 1538817044
Nursing home
-
- General Acute Care Hospital
- Hialeah, FL
- NPI 1013382860
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1144274317
-
- General Acute Care Hospital
- Miami, FL
- NPI 1023387479
-
- General Acute Care Hospital
- Miami, FL
- NPI 1548284177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502323200000",
"number": "1316110653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 NW 14TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251653",
"telephone_number": "305-545-4980",
"fax_number": "305-545-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 NW 14TH ST STE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251653",
"telephone_number": "305-545-4980",
"fax_number": "305-545-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROA",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-08",
"last_updated": "2017-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME102522",
"primary": true
}
],
"identifiers": [],
"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 Aug 10, 2017; 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.