Individual provider Active NPI

Ricardo Antonio Romagosa, M.D.

  • Dermatology Physician
  • Stuart, FL
National Provider Identifier
1720075401
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME85844 Issued in FL
Practice address
2220 SE Ocean Blvd
Suite 301
Stuart, FL 34996-2364
Phone
(772) 220-3339
Fax
(772) 286-2635
NPI assigned
Sep 29, 2005
Last updated
Mar 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X ME85844 FL Primary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X ME85844 FL
Dermatopathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0900X ME85844 FL

Addresses

Primary practice location

2220 SE Ocean Blvd
Suite 301
Stuart, FL 34996-2364

Mailing address

2220 SE Ocean Blvd
Suite 301
Stuart, FL 34996-2364
Phone (772) 220-3339

Other identifiers 1

IdentifierTypeStateIssuer
79738OtherFLBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000052 FL Practitioner - Dermatology 3375576812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Romagosa Dermatology Group LLCGroup PAC ID 8022041565, 11 clinicians

Practice addresses (Care Compare)

2220 SE Ocean Blvd
Stuart, FL 34996-3301
Phone (772) 220-3339

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision45
Removal of skin lesions2276
Removal of skin cancer536
Removal or shaving of skin growth15
Skin biopsy673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85844FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Romagosa Dermatology Group LLC Single Specialty CurrentSince Aug 1, 2005 Accepting new patients
South Florida Breast Specialists PLLC Single Specialty Past Accepting new patients
University of Miami Past Accepting new patients
Ioannides and Sanders Dermatology Associates LLC Single Specialty Past Accepting new patients
University of Miami Single Specialty Past Accepting new patients

Locations

2220 SE Ocean Blvd
Ste 203
Stuart, FL 34996
Phone (772) 220-3339

2220 SE Ocean Blvd
Ste 301
Stuart, FL 34996
Phone (772) 220-3339

Interoperability endpoints

  • Direct secure messaging: rromagosa@romagosadermatology.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1720075401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 SE OCEAN BLVD",
            "address_2": "SUITE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962364",
            "telephone_number": "772-220-3339",
            "fax_number": "772-286-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 SE OCEAN BLVD",
            "address_2": "SUITE 301",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962364",
            "telephone_number": "772-220-3339",
            "fax_number": "772-286-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAGOSA",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85844",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME85844",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME85844",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "79738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.