Romualdo Jose Segurola Jr., MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME80950 Issued in FL

Practice address

21097 NE 27TH CT Ste 350
Aventura, FL 33180-1234

Phone

(786) 428-1059

Fax

(786) 428-1062

NPI assigned

May 29, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiac SurgeryAlso: Thoracic Surgery

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
• HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167
• HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: romualdo.segurola@hca4.eclinicaldirectplus.com

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.

• Lawnwood Cardiovascular Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Pierce, FL
  • NPI 1386724169
  Medicare reassignment Care Compare group NPD
• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877
  Medicare reassignment NPD
• Holy Cross Hospital, Inc

  • Health & Wellness Coach
  • Oakland Park, FL
  • NPI 1063207595
  NPD
• Public Health Trust of Dade County Florida

  • Family Medicine Physician
  • Miami, FL
  • NPI 1902978695
  NPD (past)
• Thoracic & Cardiovascular Surgeons LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlantis, FL
  • NPI 1649212416
  NPD (past)

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

• Kendall Healthcare Group, LTD.

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1710931522
  Care Compare affiliation
• Miami Beach Healthcare Group, LTD.

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation
• Plantation General Hospital L P

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1144274317
  Care Compare affiliation
• Plantation General Hospital LP

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1023387479
  Care Compare affiliation

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

{
    "created_epoch": "1117324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1649273186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 350",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801234",
            "telephone_number": "786-428-1059",
            "fax_number": "786-428-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 350",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801234",
            "telephone_number": "786-428-1059",
            "fax_number": "786-428-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUROLA",
        "first_name": "ROMUALDO",
        "middle_name": "JOSE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-29",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME80950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269329100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Scott Barron, M.D.
• Robert J Scott, LCSW, CAP
• Nicole Scotto, LMHC
• Seal It With a Smile Pediatric Dentistry PLLC
• Barry S. Segal, DDS
• Matthew Joseph Seidl, PSY.D.
• Senior Nannies Home Care Services, LLC
• Gustavo Sepulveda, MD
• Joshua Serafin, DPT
• Vanina Lorena Serber Copernik, ARNP

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.

Verify at the official NPI Registry.