Organization Active NPI

South Florida Interventional Radiology, PA

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
National Provider Identifier
1326364076
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME76154 Issued in FL
Legal business name
SOUTH FLORIDA INTERVENTIONAL RADIOLOGY, PA
Practice address
4308 Alton Rd
Suite 740
Miami Beach, FL 33140-4556
Phone
(305) 855-0306
NPI assigned
Apr 20, 2010
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Michael Rogoff, MDNPI 1104803436
Title
Director
Phone
(305) 855-0306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME76154 FL
Vascular & Interventional Radiology Physician 2085R0204X ME76154 FL Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 740
Miami Beach, FL 33140-4556

Mailing address

PO Box 63225
Charlotte, NC 28263-3225
Phone (305) 855-0306

Other identifiers 1

IdentifierTypeStateIssuer
ME76154OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100625000622 FL Part B Supplier - Clinic/Group Practice 0840321451 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 740
Miami Beach, FL 33140
Phone (305) 673-8570

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1326364076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633225",
            "telephone_number": "305-855-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 740",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-855-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA INTERVENTIONAL RADIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "ROGOFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-855-0306",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME76154",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME76154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME76154",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.