NPIMap

Individual provider Active NPI

Richard J. Gorniak, M.D.

  • Diagnostic Radiology Physician
  • Coral Gables, FL
National Provider Identifier
1629001789
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME149667 Issued in FL
Practice address
5555 Ponce de Leon Blvd
Coral Gables, FL 33146-2513
Phone
(305) 689-5555
Fax
(305) 243-4613
NPI assigned
Jul 9, 2006
Last updated
May 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME149667 FL Primary

Addresses

Primary practice location

5555 Ponce de Leon Blvd
Coral Gables, FL 33146-2513

Mailing address

5555 Ponce de Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-5555

Other practice location 1

1192 E Newport Center Dr
Deerfield Beach, FL 33442-7753
Phone (305) 243-5512

Other identifiers 1

IdentifierTypeStateIssuer
1112609-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050809000885 PA Practitioner - Diagnostic Radiology 0648209759 Reassigns benefits to 4 organizations
I20210624001867 FL Practitioner - Diagnostic Radiology 0648209759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1115 NW 14TH St
Applebaum MRI Center
Miami, FL 33136-2106
Phone (305) 243-3564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149667FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
University of Miami CurrentSince Jun 1, 2021 Accepting new patients
Lebanon Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Jeanes Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Rittenhouse Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Insight Health Corp PastSince Jul 24, 2020 Accepting new patients

Locations

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 243-2020

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1115 NW 14th St
Miami, FL 33136
Phone (305) 243-5520

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

462 Gateway Ave
Chambersburg, PA 17201
Phone (717) 263-4999

150 E Pennsylvania Ave
Downingtown, PA 19335
Phone (215) 772-9674

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rgorniak92202@direct.med.miami.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1629001789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513",
            "telephone_number": "305-689-5555",
            "fax_number": "305-243-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462513",
            "telephone_number": "305-689-5555",
            "fax_number": "305-243-4613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 E Newport Center Dr",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427753",
            "country_code": "US",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORNIAK",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME149667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112609-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.