Richard Koby, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 49055 Issued in FL

Practice address

7150 W 20TH Ave
Suite 615
Hialeah, FL 33016-5529

Phone

(305) 821-6600

Fax

(305) 821-0773

NPI assigned

Dec 28, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pembroke Pines Medical Center

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1588849723
  NPD (past) Authorized official

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1740267012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 615",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-821-6600",
            "fax_number": "305-821-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE",
            "address_2": "SUITE 615",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165529",
            "telephone_number": "305-821-6600",
            "fax_number": "305-821-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBY",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 49055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044892300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Klein, DMD
• Elizabeth A Klein, D.D.S.
• KM Home Care, LLC
• Knight Star Inc
• Jacquelyn Carmen Knowles
• Adriana Kochen, LCSW
• Guillermo Kohn, M.D.
• Leonardo A Kok Hernandez
• Mario Kok Sanchez
• Adam Zachary Koller, DO

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.