Individual provider Active NPI

Raul Roa, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1316110653
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME102522 Issued in FL
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

Updated by the provider on Aug 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000989 FL Practitioner - Family Practice 0143364448 Reassigns benefits to 5 organizations

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
Roa-Licea MD, PAGroup PAC ID 0345384632, 2 clinicians

Practice addresses (Care Compare)

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Select Specialty Hospital-Miami Long-term care hospital, Miami, FL, CCN 102001
  • Unity Healthcare and Rehabilitation Center Nursing home, Miami, FL, CCN 105510
  • Floridean Health & Rehabilitation Center Nursing home, Miami, FL, CCN 106007
  • Miami Shores Nursing and Rehab Center Nursing home, Miami, FL, CCN 105449
  • Ponce Health and Rehabilitation Center Nursing home, Miami, FL, CCN 106021

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roa-Licea MD, PA CurrentSince Oct 27, 2009 Accepting new patients
MG H2 LLC CurrentSince Apr 1, 2024 Accepting new patients
First Docs PC CurrentSince May 1, 2025 Accepting new patients
Radial Health Southeast LLC CurrentSince May 7, 2024 Accepting new patients
Southern Winds Hospital LLC CurrentSince May 1, 2022 Accepting new patients
Vega Health Center Inc PastSince May 8, 2022 Accepting new patients
QMC LLC PastSince Feb 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.