Individual provider Active NPI

Moises Roizental, MD

  • Vascular & Interventional Radiology Physician
  • Miami, FL
National Provider Identifier
1568899896
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME70024 Issued in FL
Practice address
4770 Biscayne Blvd Ste 880
Miami, FL 33137-3235
Phone
(305) 674-7575
Fax
(651) 490-7797
NPI assigned
Oct 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME70024 FL Primary

Addresses

Primary practice location

4770 Biscayne Blvd Ste 880
Miami, FL 33137-3235

Mailing address

PO Box 577
Circle Pines, MN 55014-0577
Phone (612) 669-7173

Other practice location 1

2283 SW 2nd St
Pompano Beach, FL 33069-3101
Phone (305) 674-7575

Other practice location 2

1380 NE Miami Gardens Dr Ste 240
North Miami Beach, FL 33179-4750
Phone (305) 907-6191

Other practice location 3

3801 Biscayne Blvd Ste 110
Miami, FL 33137-9800
Phone (305) 674-7575

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
I20140917002110 FL Practitioner - Interventional Radiology 1456570860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1380 NE Miami Gardens Dr
Suite 240
North Miami Beach, FL 33179-4750
Phone (305) 907-6191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70024FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Interventional Radiology Corp Vascular & Interventional Radiology CurrentSince Jul 1, 2019 Accepting new patients
David L Galbut MD Associates PA Vascular & Interventional Radiology CurrentSince Jul 1, 2020 Accepting new patients

Locations

21110 Biscayne Blvd
Ste 201
Miami, FL 33180
Phone (305) 653-5155

3801 Biscayne Blvd
Ste 110
Miami, FL 33137
Phone (305) 576-1116

4770 Biscayne Blvd
Ste 880
Miami, FL 33137
Phone (786) 268-8289

16853 NE 2nd Ave
Ste 200
North Miami Beach, FL 33162

1380 NE Miami Gardens Dr
Ste 240
North Miami Beach, FL 33179
Phone (305) 674-7575

16855 NE 2nd Ave
Ste 305
North Miami Beach, FL 33162

2283 SW 2nd St
Pompano Beach, FL 33069
Phone (305) 335-6444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHHJDD/Endpoint/JHHJDD

Organizations & group practices 2

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": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1568899896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550140577",
            "telephone_number": "612-669-7173",
            "fax_number": "651-490-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 880",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373235",
            "telephone_number": "305-674-7575",
            "fax_number": "651-490-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2283 SW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330693101",
            "country_code": "US",
            "telephone_number": "305-674-7575",
            "fax_number": "651-490-7797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 NE Miami Gardens Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331794750",
            "country_code": "US",
            "telephone_number": "305-907-6191",
            "fax_number": "305-907-6192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Biscayne Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331379800",
            "country_code": "US",
            "telephone_number": "305-674-7575",
            "fax_number": "651-490-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROIZENTAL",
        "first_name": "MOISES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME70024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.