Individual provider Active NPI

Javier Ricardo, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1770536690
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME92030 Issued in FL
Practice address
7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154
Phone
(305) 267-6774
Fax
(305) 267-8482
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME92030 FL Primary

Addresses

Primary practice location

7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154

Mailing address

7000 W 12TH Ave Ste 12
Hialeah, FL 33014-5154
Phone (305) 267-6774

Other identifiers 2

IdentifierTypeStateIssuer
273137100MedicaidFL
28825OtherFLBCBS

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
I20051020000809 FL Practitioner - General PracticePractitioner - Pediatric Medicine 8921033754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Javier Ricardo MD PAGroup PAC ID 4284669011, 5 clinicians

Practice addresses (Care Compare)

7000 W 12TH Ave
Suite 12
Hialeah, FL 33014-5154
Phone (305) 267-6774

Hospital & facility affiliations

  • Better Living Home Health Agency Inc Home health agency, Doral, FL, CCN 108400
  • Complete Health Network Inc Home health agency, Miami, FL, CCN 108074
  • Caring for Elderly Home Care, LLC Home health agency, Miami, FL, CCN 687099
  • Granny'S Home Health Care Inc Home health agency, Miami, FL, CCN 109120
  • Viveiro Homehealth Agency Inc Home health agency, Miami, FL, CCN 687321
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Gentiva Hospice, Miami, FL, CCN 101548
  • Keralty Hospital Hospital, Miami, FL, CCN 100284
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Javier Ricardo MD PA General Practice CurrentSince Jun 21, 2005 Accepting new patients
Assisted Living Sweet Inc Past Accepting new patients

Locations

7000 W 12th Ave
Ste 12
Hialeah, FL 33014
Phone (305) 267-6774

13335 SW 124th St
Ste 106
Miami, FL 33186
Phone (786) 354-1758

7000 SW 62nd Ave
Ste 300
South Miami, FL 33143
Phone (305) 284-7666

Interoperability endpoints

  • Direct secure messaging: javier.ricardo.1@4307.direct.athenahealth.com

Organizations & group practices 2

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 12

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1770536690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE STE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145154",
            "telephone_number": "305-267-6774",
            "fax_number": "305-267-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE STE 12",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145154",
            "telephone_number": "305-267-6774",
            "fax_number": "305-267-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDO",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME92030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273137100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28825",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.