Active NPI
Roberto P Coquis Sr., MD
- Specialist
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0027643
- Practice address
- 2161 E Commercial Blvd
2ND Floor
Fort Lauderdale, FL 33308-3810 - Phone
- (954) 491-5187
- Fax
- (954) 491-5217
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0027643 | FL | Primary |
Addresses
Primary practice location
2161 E Commercial Blvd
2ND Floor
Fort Lauderdale, FL 33308-3810
Mailing address
2161 E Commercial Blvd
2ND Floor
Fort Lauderdale, FL 33308-3810
Phone (954) 491-5187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057490200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4534 N Federal Hwy
Fort Lauderdale, FL 33308-5204
Phone (954) 493-9774
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0027643 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Consultants of South Florida PA | Specialist | Current | Accepting new patients |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Florida Kidney Physicians, LLC | Current | Accepting new patients |
Locations
700 Riverside Dr
Coral Springs, FL 33071
Phone (954) 753-7870
220 SW Natura Ave
Deerfield Beach, FL 33441
Phone (561) 392-2021
4534 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 493-9774
2161 E Commercial Blvd
Fl 2
Ft Lauderdale, FL 33308
Phone (305) 728-0505
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
7421 N University Dr
Ste 101
Tamarac, FL 33321
Phone (954) 341-1171
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- roberto.coquis.1@15644.direct.athenahealth.com
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Specialist
- Fort Lauderdale, FL
- NPI 1043260284
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care Imperial Point
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Lauderdale, FL
- NPI 1245901248
Dialysis facility
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1609827161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 E COMMERCIAL BLVD",
"address_2": "2ND FLOOR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083810",
"telephone_number": "954-491-5187",
"fax_number": "954-491-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 E COMMERCIAL BLVD",
"address_2": "2ND FLOOR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083810",
"telephone_number": "954-491-5187",
"fax_number": "954-491-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COQUIS",
"first_name": "ROBERTO",
"middle_name": "P",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME0027643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057490200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.