Individual provider Active NPI

Evany Rodriguez

  • Family Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1811399793
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9325479 Issued in FL
Practice address
4302 Alton Rd
Msop Building, Suite 540
Miami Beach, FL 33140-2891
Phone
(305) 674-2499
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9325479 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Msop Building, Suite 540
Miami Beach, FL 33140-2891

Mailing address

5431 SW 130TH Ave
Miramar, FL 33027-5408

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104002842 FL Practitioner - Nurse Practitioner 9638489529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Medical Center Urology LLCGroup PAC ID 2466513288, 26 clinicians

Practice addresses (Care Compare)

4302 Alton Rd
Suite 540
Miami Beach, FL 33140-2842
Phone (305) 674-2499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
74.99
Promoting interoperability
99
Improvement activities
40
Cost
77.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9325479FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Medical Center Urology, LLC CurrentSince May 11, 2015 Accepting new patients

Locations

836 Ponce de Leon Blvd
Ste 200
Coral Gables, FL 33134
Phone (305) 432-9321

6050 W 20th Ave
Fl 3
Hialeah, FL 33016
Phone (786) 584-5000

2845 NE 199th St
Ste 250
Miami, FL 33180
Phone (305) 692-1080

2504 Biscayne Blvd
Miami, FL 33137
Phone (786) 598-4560

200 Crandon Blvd
Ste 300
Miami, FL 33149
Phone (305) 361-1406

4302 Alton Rd
Ste 540
Miami Beach, FL 33140
Phone (305) 674-2151

10990 Biscayne Blvd
Unit 19
Miami Shores, FL 33161
Phone (305) 891-3710

1684 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 487-8480

323 Sunny Isles Blvd
Ste 602603
Sunny Isles Beach, FL 33160

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: erodriguezfabie30105@direct.msmc.com

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1811399793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 SW 130TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "MSOP BUILDING, SUITE 540",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-674-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EVANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9325479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.