Individual provider Active NPI

Renato Dubois, M.D.

  • Pediatric Cardiology Physician
  • West Palm Beach, FL
National Provider Identifier
1538110606
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME-0055259 Issued in FL
Practice address
5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452
Phone
(561) 844-9858
Fax
(561) 844-3436
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X ME-0055259 FL Primary

Addresses

Primary practice location

5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452

Mailing address

5325 Greenwood Ave
Suite 302
West Palm Beach, FL 33407-2452
Phone (561) 844-9858

Other identifiers 1

IdentifierTypeStateIssuer
037646900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000154 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 5799869897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0055259FLMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Dec 23, 2024 Accepting new patients
South Broward Hospital District Pediatric Cardiology CurrentSince Dec 23, 2024 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1803 S 25th St
Ste 5
Fort Pierce, FL 34947
Phone (772) 468-0664

1150 N 35th Ave
Ste 490
Hollywood, FL 33021
Phone (954) 265-3437

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1850 SW Fountainview Blvd
Ste 201
Port St Lucie, FL 34986
Phone (561) 736-7313

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1538110606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-844-9858",
            "fax_number": "561-844-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 302",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-844-9858",
            "fax_number": "561-844-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "RENATO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "FL",
            "license": "ME-0055259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037646900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.