NPIMap

Organization Active NPI

Access Medical Group of Perrine, LLC.

Doing business as Community Medical Group

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1578845129
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACCESS MEDICAL GROUP OF PERRINE, LLC.
Doing business as
Community Medical Group
Practice address
12376 Quail Roost Dr
Miami, FL 33177-4974
Phone
(786) 237-3070
Fax
(786) 430-8198
NPI assigned
Sep 9, 2011
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Mr. Rayny Ramirez
Title
President
Phone
(786) 322-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12376 Quail Roost Dr
Miami, FL 33177-4974

Mailing address

6100 Blue Lagoon Dr
Suite 365
Miami, FL 33126-2079
Phone (786) 322-7333

Other practice location 1

12320 Quail Roost Dr
Miami, FL 33177-4930
Phone (786) 623-0994

Other practice location 2

20001 SW 127th Ave
Miami, FL 33177-5118
Phone (305) 406-2069

Other names 1

  • COMMUNITY MEDICAL GROUP Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address cmgperrine.adult@cmg.eclinicaldirectplus.com Health Information Exchange (HIE)
Direct Messaging Address cmgperrine.pediatric@cmg.eclinicaldirectplus.com Health Information Exchange (HIE)
Direct Messaging Address cmgperrine.medicare@cmg.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130514000616 FL Part B Supplier - Clinic/Group Practice 4082851811 Receives reassigned benefits from 10 practitioners
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2080784Access Medical Group of Perrine Inc12376 Quail Roost Dr, Miami, FL 33177Certificate of waiverJul 14, 2028
10D2149273Access Medical Group of Perrine, Inc20001 SW 127TH Ave, Miami, FL 33177Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

12320 Quail Roost Dr
Miami, FL 33177
Phone (786) 237-3070

12376 Quail Roost Dr
#80
Miami, FL 33177

14223 SW 42nd St
Miami, FL 33175
Phone (305) 551-2165

14223 SW 42nd St
Ste 205
Miami, FL 33175

14285 SW 42nd St
Ste 206
Miami, FL 33175

14285 SW 42nd St
Ste 207
Miami, FL 33175

1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

20001 SW 127th Ave
Miami, FL 33177
Phone (305) 406-2069

6100 Waterford District Dr
Miami, FL 33126
Phone (305) 774-3300

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: cmgperrine.adult@cmg.eclinicaldirectplus.com
  • Direct secure messaging: cmgperrine.medicare@cmg.eclinicaldirectplus.com
  • Direct secure messaging: cmgperrine.pediatric@cmg.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1578845129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "786-322-7333",
            "fax_number": "786-322-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12376 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774974",
            "telephone_number": "786-237-3070",
            "fax_number": "786-430-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12320 Quail Roost Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331774930",
            "country_code": "US",
            "telephone_number": "786-623-0994",
            "fax_number": "786-430-8197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20001 SW 127th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331775118",
            "country_code": "US",
            "telephone_number": "305-406-2069",
            "fax_number": "786-577-4381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCESS MEDICAL GROUP OF PERRINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "RAYNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-322-7333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmgperrine.adult@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12320 Quail Roost Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331774930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmgperrine.pediatric@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12376 Quail Roost Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331774974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmgperrine.medicare@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20001 SW 127th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331775118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 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.