Robere Jannik Missirian, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G84264 Issued in CA

Practice address

4848 Coconut Creek Pkwy # 200
Coconut Creek, FL 33063-3904

Phone

(877) 848-2507

Fax

(954) 951-1285

NPI assigned

May 17, 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2025 through Jan 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Vital Orthopedic & Spine Institute, Inc

  • Specialist
  • Coconut Creek, FL
  • NPI 1104285725
  NPD (past) Authorized official
• Robere J. Missirian MD Inc

  dba MOMG/Missirian Orthopaedic Medical Group

  • Ambulatory Surgical Clinic/Center
  • North Hollywood, CA
  • NPI 1003023821

  Orthopaedic Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1326255134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S FEDERAL HWY # 199",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833309",
            "telephone_number": "877-848-2507",
            "fax_number": "954-951-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 COCONUT CREEK PKWY # 200",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330633904",
            "telephone_number": "877-848-2507",
            "fax_number": "954-951-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSIRIAN",
        "first_name": "ROBERE",
        "middle_name": "JANNIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minuteclinic
• Mirdine Emmeline Minviel
• Nayara Damiann Miranda, DC
• Beverly Mireles-James, FNP-BC
• Raquel Christina Miret, M.S, LMHC
• Mitchell J Marder P.a.
• Erica Nicole Mitchell
• Dawn Molina, OTR/L
• Emerson Molina, PHARMD
• Kevin Wayne Money, CRTT

• Orthopaedic Surgery Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.