NPIMap

Organization Active NPI

Access Medical Group of Opa-Locka, LLC.

Doing business as Community Medical Group

  • Family Medicine Physician
  • Opa Locka, FL
National Provider Identifier
1790044287
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ACCESS MEDICAL GROUP OF OPA-LOCKA, LLC.
Doing business as
Community Medical Group
Practice address
321 Opa Locka Blvd
Opa Locka, FL 33054-3526
Phone
(786) 476-3333
Fax
(786) 476-3334
NPI assigned
May 3, 2012
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Mr. Rayny Ramirez
Title
President
Phone
(786) 322-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

321 Opa Locka Blvd
Opa Locka, FL 33054-3526

Mailing address

6100 Blue Lagoon Dr
Suite 365
Miami, FL 33126-2079
Phone (786) 322-7333

Other identifiers 1

IdentifierTypeStateIssuer
009427200MedicaidFL

Other names 1

  • COMMUNITY MEDICAL GROUP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmgopalocka.adultpeds@cmg.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000565 FL Part B Supplier - Clinic/Group Practice 1153568985 Receives reassigned benefits from 5 practitioners
Practice locations: Opa Locka, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2047275Access Medical Group of Opa Locka Inc321 Opa Locka Blvd, Opa Locka, FL 33054Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Member of 5

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

321 Opa Locka Blvd
Opa Locka, FL 33054
Phone (786) 476-3333

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: cmgopalocka.adultpeds@cmg.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1790044287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR",
            "address_2": "SUITE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262079",
            "telephone_number": "786-322-7333",
            "fax_number": "786-322-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 OPA LOCKA BLVD",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543526",
            "telephone_number": "786-476-3333",
            "fax_number": "786-476-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL GROUP OF OPA-LOCKA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "RAYNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-322-7333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009427200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmgopalocka.adultpeds@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CMG",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "321 Opa Locka Blvd",
            "city": "Opa Locka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330543526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.