Individual provider Active NPI

Ramon Tadeo Cardoso, MD

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1598715294
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91768 Issued in FL
Practice address
1150 N 35TH Ave
Suite 135
Hollywood, FL 33021-5424
Phone
(954) 265-6989
Fax
(954) 965-3599
NPI assigned
May 11, 2006
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91768 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 135
Hollywood, FL 33021-5424

Mailing address

1150 N 35TH Ave
Suite 135
Hollywood, FL 33021-5424
Phone (954) 265-6989

Other identifiers 1

IdentifierTypeStateIssuer
ME91768OtherFLMEDICAL LICENSE

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
I20050604000037 FL Practitioner - Internal Medicine 5092758656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Primary Care LLCGroup PAC ID 8123175213, 3 clinicians

Practice addresses (Care Compare)

9951 Bird Rd
Miami, FL 33165-3989
Phone (305) 552-5350

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Feb 1, 2005 Accepting new patients
Eastside Hospitalists Inc CurrentSince Jun 1, 2014 Accepting new patients
Miami Primary Care LLC Internal Medicine CurrentSince Jan 19, 2015 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District CurrentSince Feb 1, 2005 Accepting new patients

Locations

1150 N 35th Ave
Ste 135
Hollywood, FL 33021
Phone (954) 265-6989

9951 SW 40th St
Miami, FL 33165
Phone (305) 552-5350

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1598715294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 135",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-6989",
            "fax_number": "954-965-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 135",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-265-6989",
            "fax_number": "954-965-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "RAMON",
        "middle_name": "TADEO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME91768",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.