Individual provider Active NPI

Rossana Moura, MD

  • Gastroenterology Physician
  • Pembroke Pines, FL
National Provider Identifier
1801829189
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD10776 Issued in FL
Practice address
1601 N Palm Ave Ste 311
Pembroke Pines, FL 33026-3242
Phone
(954) 874-7900
Fax
(954) 874-7901
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD10776 FL Primary
Hepatology Physician 207RI0008X MD10776 FL

Addresses

Primary practice location

1601 N Palm Ave Ste 311
Pembroke Pines, FL 33026-3242

Mailing address

1601 N Palm Ave Ste 311
Pembroke Pines, FL 33026-3242
Phone (954) 874-7900

Other identifiers 1

IdentifierTypeStateIssuer
ME79901OtherFLMEDICAL LICENSE

Other names 1

  • Mrs. Rossana Moura Rocha Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rossana.moura@rmmd.eclinicaldirectplus.com Health Information Exchange (HIE)

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
I20080821000211 FL Practitioner - Gastroenterology 5698840999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 N Palm Ave
Suite 311
Pembroke Pines, FL 33026-3242
Phone (954) 874-7900

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10776FLMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rossana Moura MD PA Gastroenterology CurrentSince Aug 1, 2008 Accepting new patients

Locations

12311 Taft St
Ste 1
Pembroke Pines, FL 33026
Phone (954) 441-9595

1601 N Palm Ave
Ste 311
Pembroke Pines, FL 33026
Phone (754) 200-1617

3157 N University Dr
Ste 101
Pembroke Pnes, FL 33024
Phone (754) 206-8250

Interoperability endpoints

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

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 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1801829189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263242",
            "telephone_number": "954-874-7900",
            "fax_number": "954-874-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263242",
            "telephone_number": "954-874-7900",
            "fax_number": "954-874-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURA",
        "first_name": "ROSSANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "MD10776",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "FL",
            "license": "MD10776",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME79901",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rossana.moura@rmmd.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT ADDRESS FOR MR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 N Palm Ave Ste 311",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330263242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSSANA",
            "last_name": "ROCHA",
            "middle_name": "MOURA",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.