Individual provider Active NPI

Robert Karel Koenekoop, MD, PHD

  • Ophthalmology Physician
  • Miami Beach, FL
National Provider Identifier
1699315796
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
142730 Issued in FL
Practice address
6799 Collins Ave Apt 303
Miami Beach, FL 33141-5763
Phone
(438) 402-9015
Fax
(514) 906-8081
NPI assigned
Jan 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 142730 FL Primary

Addresses

Primary practice location

6799 Collins Ave Apt 303
Miami Beach, FL 33141-5763

Mailing address

6799 Collins Ave
Miami Beach, FL 33141-5762
Phone (438) 402-9015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
142730FLMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1699315796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 COLLINS AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415762",
            "telephone_number": "438-402-9015",
            "fax_number": "514-906-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 COLLINS AVE APT 303",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415763",
            "telephone_number": "438-402-9015",
            "fax_number": "514-906-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENEKOOP",
        "first_name": "ROBERT",
        "middle_name": "KAREL",
        "name_prefix": "Prof.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "142730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.