Individual provider Active NPI

Ricardo Otero, MD

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1841396801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME58737 Issued in FL
Practice address
5959 NW 7TH St
Miami, FL 33126-3129
Phone
(305) 264-1000
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME58737 FL Primary

Addresses

Primary practice location

5959 NW 7TH St
Miami, FL 33126-3129

Mailing address

3618 Palmetto Ave
Coral Gables, FL 33133-6221
Phone (305) 444-5495

Other identifiers 1

IdentifierTypeStateIssuer
23952OtherFLBCBS

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
I20040515000322 FL Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6103816723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME58737FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2013 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Ma Emergency Associates PL Emergency Medicine Past Accepting new patients
Doctors ER Services, Inc. Emergency Medicine Past Accepting new patients
Mezey & Krainson MD PA Past Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841396801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 PALMETTO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331336221",
            "telephone_number": "305-444-5495",
            "fax_number": "305-549-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263129",
            "telephone_number": "305-264-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME58737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.