Individual provider Active NPI

Roberto D Comperatore, MD

  • Specialist
  • Hialeah, FL
National Provider Identifier
1730150772
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0037088 Issued in FL
Practice address
7150 W 20TH Ave Ste 313
Hialeah, FL 33016-5532
Phone
(305) 558-4428
Fax
(305) 364-1295
NPI assigned
Jan 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME37088 FL
Specialist 174400000X 0037088 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave Ste 313
Hialeah, FL 33016-5532

Mailing address

7150 W 20TH Ave Ste 313
Hialeah, FL 33016-5532
Phone (305) 558-4428

Other identifiers 5

IdentifierTypeStateIssuer
003351OtherFLAVMED
95575OtherFLBCBS OF FLORIDA
000404OtherFLNHP
03831OtherFLWELLCARE
039724500MedicaidFL

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
I20101020000035 FL Practitioner - General Surgery 1153514401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7150 W 20TH Ave
Suite 313
Hialeah, FL 33016-5532
Phone (305) 558-4428

Hospital & facility affiliations

  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0037088FLMDSpecialist
ME37088FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto D Comperatore Mdpa Surgery CurrentSince Jun 22, 2011 Accepting new patients

Locations

7100 W 20th Ave
Ste 110
Hialeah, FL 33016
Phone (305) 558-4428

7150 W 20th Ave
Ste 215
Hialeah, FL 33016
Phone (305) 558-4428

7150 W 20th Ave
Ste 313
Hialeah, FL 33016
Phone (305) 558-4428

1951 SW 172nd Ave
Ste 200
Miramar, FL 33029
Phone (305) 330-6692

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1730150772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 313",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165532",
            "telephone_number": "305-558-4428",
            "fax_number": "305-364-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 313",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165532",
            "telephone_number": "305-558-4428",
            "fax_number": "305-364-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPERATORE",
        "first_name": "ROBERTO",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME37088",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0037088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "003351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "95575",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "000404",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "03831",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039724500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.