Rudolph Eberwein, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME85712 Issued in FL

Practice address

11760 SW 40TH St Ste 112
Miami, FL 33175-3589

Phone

(305) 485-7979

Fax

(305) 552-6775

NPI assigned

Oct 3, 2006

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

Specialty

Internal Medicine

Education

University of Miami, LM Miller School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tristar Wellness, LLCGroup PAC ID 7416298906, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tristar Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Miami Beach, FL
  • NPI 1235641770
  Medicare reassignment Care Compare group NPD
• Blue Lagoon Hospitalists Inc

  • Hospitalist Physician
  • Miami, FL
  • NPI 1356664478

  Internal Medicine

  NPD (past)
• Solve Medical Group Inc

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1649371204
  NPD (past)
• Primedoc of Winchester PC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1396701173
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1821182791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-485-7979",
            "fax_number": "305-552-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 112",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753589",
            "telephone_number": "305-485-7979",
            "fax_number": "305-552-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERWEIN",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265109200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Elizabeth Eberman, MS, ATC, LAT
• Maryellen Ebert, LMHC
• Eberth's Behavioral Group, LLC
• Eberwein and Spaulding Medical Group, Inc.
• Keisha Melaine Eberwein, OD
• Aselu Mathilda Ebhomielen Zekeri, MD, DPM, MHA
• Ebony Drugs LLC
• Mohammad Ebrahim
• Nancy Ebrahim
• Ibis Ebro

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.
• 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.