Richard K Mastrole

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME32864 Issued in FL

Practice address

1900 E Commercial Blvd
Suite 101
Ft Lauderdale, FL 33308-3737

Phone

(954) 351-5838

Fax

(954) 351-5836

NPI assigned

Aug 14, 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

Electronic endpoints 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

Internal MedicineAlso: Rheumatology

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Coral Springs, FL, CCN 108061
• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.mastrole@holy-cross.com
• Direct secure messaging: rmastrole2023515@direct.trinity-health.org

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.

• Holy Cross Hospital Inc

  dba Holy Cross Medical Group

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1467401877
  Medicare reassignment Care Compare group NPD
• Holy Cross Hospital, Inc

  dba Holy Cross Diabetes Prevention Program

  • Health & Wellness Coach
  • Oakland Park, FL
  • NPI 1063207595
  NPD

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

• Altercare LLC

  dba Trilogy Home Healthcare

  • Home Health Agency
  • Coral Springs, FL
  • NPI 1417021866
  Care Compare affiliation
• Holy Cross Hospital Inc

  dba Holy Cross Medical Group

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1710990585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD",
            "address_2": "SUITE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-351-5838",
            "fax_number": "954-351-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E COMMERCIAL BLVD",
            "address_2": "SUITE 101",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083737",
            "telephone_number": "954-351-5838",
            "fax_number": "954-351-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROLE",
        "first_name": "RICHARD",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME32864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038245100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Richard.mastrole@holy-cross.com",
            "affiliation": "N",
            "endpointDescription": "Holy-Cross direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1900 E Commercial Blvd",
            "address_2": "Suite 101",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333083737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Massage Spa and Facials LLC (Silent Moment Spa)
• Massage Therapy by Rina Richard Inc.
• Abir Ali Massri, DDS
• Master Home Health Care, LLC. (Independence Home Health of Broward County, LLC.)
• Jason Mastrian, L.M.T
• Charlie Mata, CRNA
• Fernando V. Mata, M.D.
• Joselyn M Mateo, MD
• Rejoy Mathai, APRN
• Smitha Mathew, PHARMD

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.