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Individual provider Active NPI

Luis G Rangel, MD

  • Hematology & Oncology Physician
  • Hialeah, FL
National Provider Identifier
1487645149
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0052014 Issued in FL
Practice address
777 E 25TH St Ste 118
Hialeah, FL 33013-3804
Phone
(305) 693-1988
Fax
(305) 693-3941
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0052014 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 118
Hialeah, FL 33013-3804

Mailing address

777 E 25TH St Ste 118
Hialeah, FL 33013-3804
Phone (305) 693-1988

Other identifiers 2

IdentifierTypeStateIssuer
17703ZOtherFLGROUP MK
370890000MedicaidFL

Other names 1

  • Luis G Diaz-Rangel Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000795 FL Practitioner - Hematology/Oncology 7719885276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis G Diaz Rangel MD PAGroup PAC ID 7810964202, 3 clinicians

Practice addresses (Care Compare)

777 E 25TH St
Hialeah, FL 33013-3804
Phone (305) 693-1988

Hospital & facility affiliations

  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050
  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0052014FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis G Diaz Rangel MD PA Hematology & Oncology CurrentSince Sep 1, 2004 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

777 E 25th St
Ste 411
Hialeah, FL 33013
Phone (305) 693-1988

777 E 25th St
Ste 118
Hialeah, FL 33013
Phone (305) 693-1988

Organizations & group practices 1

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1487645149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 118",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "305-693-1988",
            "fax_number": "305-693-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 118",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133804",
            "telephone_number": "305-693-1988",
            "fax_number": "305-693-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "LUIS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0052014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MK",
            "identifier": "17703Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370890000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "DIAZ-RANGEL",
            "middle_name": "G",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.