Active NPI
Rafael A Pelegrin, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1861447708
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME63852
- Practice address
- 10661 N Kendall Dr
Suite 113
Miami, FL 33176-1550 - Phone
- (305) 279-1929
- Fax
- (305) 279-1935
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME63852 | FL | Primary |
Addresses
Primary practice location
10661 N Kendall Dr
Suite 113
Miami, FL 33176-1550
Mailing address
10661 N Kendall Dr
Suite 113
Miami, FL 33176-1550
Phone (305) 279-1929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME63852 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Largo Medical Center Corp | Past | Accepting new patients | |
| The Gables Rehabilitation Center, LLC | Family Medicine | Past | Accepting new patients |
| Saez Medical Center | Past | Accepting new patients | |
| A & O Diagnostic Center Inc | Past | Accepting new patients | |
| Rafael Pelegrin M.D,Medical GRP, LLC | Past | Accepting new patients | |
| L & H Diagnostic Center | Past | Accepting new patients | |
| Charity Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Clinic/Center
- Miami, FL
- NPI 1962457929
-
- Health Service Clinic/Center
- Miami, FL
- NPI 1861406498
-
- Clinic/Center
- Miami, FL
- NPI 1174683635
-
- Clinic/Center
- Miami, FL
- NPI 1235214230
-
- Clinic/Center
- Lauderhill, FL
- NPI 1144275108
-
- General Practice Physician
- Miami, FL
- NPI 1669456117
-
- Family Medicine Physician
- Coral Gables, FL
- NPI 1073674750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861447708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10661 N KENDALL DR",
"address_2": "SUITE 113",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761550",
"telephone_number": "305-279-1929",
"fax_number": "305-279-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10661 N KENDALL DR",
"address_2": "SUITE 113",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761550",
"telephone_number": "305-279-1929",
"fax_number": "305-279-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELEGRIN",
"first_name": "RAFAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME63852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.