Active NPI
South Florida Interventional Radiology, PA
- Vascular & Interventional Radiology Physician
- Miami Beach, FL
National Provider Identifier
1326364076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME76154
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Rogoff, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME76154 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vascular & Interventional Radiology Physician
- Miami Beach, FL
- NPI 1104803436
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
- South Beach Psychology Inc
- South Florida Foot & Ankle Associates, P.a.
- South Florida Health Coalition LLC
- South Florida Integrative Health Center LLC
- South Florida Interventional Radiology PA
- South Florida Multispecialty Associates LLC
- South Florida Nuclear Medicine
- South Florida Surgical Specialists, LLC
- South Florida Vision Services, Inc.
- South Miami GYN Oncology Physicians LLC
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.