Active NPI
Renaldo Omalee Roache, CRNA
- Certified Registered Nurse Anesthetist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9273737
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
Enrollment records 2
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
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
- HCA Florida Osceola Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9273737 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfstream Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Greater Miami Anesthesia Services, PA | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U of R Anesthesiology Group | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Maple Gate Anesthesiologists, P.C. | Current | 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
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- rroache7887@direct.med.miami.edu
- 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.
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
- Specialist
- Homestead, FL
- NPI 1467407007
-
- Anesthesiology Physician
- Cheektowaga, NY
- NPI 1528072709
-
- Certified Registered Nurse Anesthetist
- Hialeah, FL
- NPI 1225207483
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1689246092
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
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.