Organization Active NPI

Miami Gastroenterology Consultants, PA

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1720160864
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MIAMI GASTROENTEROLOGY CONSULTANTS, PA
Practice address
8525 SW 92 St
Suite C10
Miami, FL 33156
Phone
(305) 274-7800
Fax
(305) 270-1246
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Miguel J Rodriquez, MD
Title
Partner Physician
Phone
(305) 274-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

8525 SW 92 St
Suite C10
Miami, FL 33156

Mailing address

8525 SW 92 St
Suite C10
Miami, FL 33156
Phone (305) 274-7800

Other identifiers 4

IdentifierTypeStateIssuer
254791100MedicaidFL
378851200MedicaidFL
055460000MedicaidFL
254332000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330000054 FL Part B Supplier - Clinic/Group Practice 4587610845 Receives reassigned benefits from 3 practitioners
Practice locations: Homestead, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

8525 SW 92nd St
Ste C10
Miami, FL 33156
Phone (305) 274-7800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFFJBD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1720160864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92 ST",
            "address_2": "SUITE C10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92 ST",
            "address_2": "SUITE C10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GASTROENTEROLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "RODRIQUEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER PHYSICIAN",
        "authorized_official_telephone_number": "305-274-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254791100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378851200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055460000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254332000",
            "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 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.