Individual provider Active NPI

Renaldo Omalee Roache, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1407279227
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9273737 Issued in FL
Practice address
15422 SW 176TH Ter
Miami, FL 33187-6749
Phone
(305) 926-1431
NPI assigned
Jan 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 771242 NY
Certified Registered Nurse Anesthetist 367500000X RN9273737 FL
Certified Registered Nurse Anesthetist 367500000X 771242 NY
Certified Registered Nurse Anesthetist 367500000X ARNP9273737 FL Primary

Addresses

Primary practice location

15422 SW 176TH Ter
Miami, FL 33187-6749

Mailing address

15422 SW 176TH Ter
Miami, FL 33187-6749
Phone (305) 926-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140324001493 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224269881 Reassigns benefits to 5 organizations
I20190805002334 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224269881 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple Gate Anesthesiologists, P.C.Group PAC ID 8022913839, 113 clinicians
Greater Miami Anesthesia Services PAGroup PAC ID 8022097211, 21 clinicians

Practice addresses (Care Compare)

700 W Oak St
Kissimmee, FL 34741-4996
Phone (954) 939-5000

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 632-1088

975 Baptist Way
Homestead, FL 33030-7600
Phone (786) 596-6557

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9273737FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Greater Miami Anesthesia Services, PA CurrentSince May 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Nov 30, 2023 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 30, 2023 Accepting new patients
U of R Anesthesiology Group CurrentSince Aug 26, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 20, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince May 1, 2023 Accepting new patients
Maple Gate Anesthesiologists, P.C. CurrentSince Jul 15, 2019 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

30 S Cayuga Rd
Williamsville, NY 14221

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rroache7887@direct.med.miami.edu
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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 7

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1407279227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15422 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876749",
            "telephone_number": "305-926-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15422 SW 176TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331876749",
            "telephone_number": "305-926-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACHE",
        "first_name": "RENALDO",
        "middle_name": "OMALEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "771242",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9273737",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "771242",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9273737",
            "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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.