Individual provider Active NPI

Roberto P Coquis Sr., MD

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1609827161
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0027643 Issued in FL
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

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
057490200MedicaidFL

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
I20101118000592 FL Practitioner - Nephrology 0547359861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME0027643FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Consultants of South Florida PA Specialist CurrentSince Sep 1, 2010 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Nov 1, 2023 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Nov 1, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.