Active NPI
Ileana M. Rodicio, MD
- Allergy & Immunology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- ME88103
- Practice address
- 9000 SW 137TH Ave
Suite 213
Miami, FL 33186-1411 - Phone
- (305) 388-0078
- Fax
- (305) 388-2029
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | ME88103 | FL | Primary |
Addresses
Primary practice location
9000 SW 137TH Ave
Suite 213
Miami, FL 33186-1411
Mailing address
11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone (305) 223-8808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U1340Z | Other | FL | MEDICARE |
| 267769500 | 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
- Allergy/Immunology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252
9000 SW 137TH Ave
213 Florida Center for Allergy and Asthma Car
Miami, FL 33186-1436
Phone (305) 388-0078
9035 Sunset Dr
Suite 202
Miami, FL 33173-3451
Phone (305) 279-3366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88103 | FL | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates of South Florida PA | Allergy & Immunology | Current | Accepting new patients |
| Allergy & Asthma Associates of South Florida PA | Allergy & Immunology | Current | Accepting new patients |
Locations
21150 Biscayne Blvd
Ste 40
Aventura, FL 33180
Phone (305) 932-3252
100 NE 15th St
Ste 104
Homestead, FL 33030
Phone (305) 245-1100
11880 SW 40th St
Ste 304
Miami, FL 33175
Phone (305) 223-8808
9035 Sunset Dr
Ste 202
Miami, FL 33173
Phone (305) 279-3366
9000 SW 137th Ave
Ste 213
Miami, FL 33186
Phone (305) 388-0078
16401 NW 2nd Ave
Ste 204
North Miami Beach, FL 33169
Phone (305) 652-8151
1290 Weston Rd
Ste 300
Weston, FL 33326
Phone (954) 389-2599
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Miami, FL
- NPI 1093779696
-
- Allergy & Immunology Physician
- Pembroke Pines, FL
- NPI 1912164211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1689638629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 SW 40TH ST",
"address_2": "SUITE 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753584",
"telephone_number": "305-223-8808",
"fax_number": "305-223-8974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SW 137TH AVE",
"address_2": "SUITE 213",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861411",
"telephone_number": "305-388-0078",
"fax_number": "305-388-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODICIO",
"first_name": "ILEANA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "ME88103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U1340Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267769500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.