Paul E Roa, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME123129 Issued in FL

Practice address

1951 SW 172ND Ave Ste 314
Miramar, FL 33029

Phone

(549) 447-5206

Fax

(954) 447-5259

NPI assigned

Mar 31, 2010

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

Pain Management

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Water Pain Solutions, PAGroup PAC ID 0143547232, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Blue Water Pain Solutions, PA

  • Pain Medicine (Anesthesiology) Physician
  • Pembroke Pines, FL
  • NPI 1316352545
  Medicare reassignment Care Compare group NPD
• Pain Management Strategies

  • Pain Medicine Physician
  • Boca Raton, FL
  • NPI 1457402471
  Medicare reassignment NPD
• Blue Water Pain Solutions, PA

  • Pain Medicine (Anesthesiology) Physician
  • Lauderdale Lakes, FL
  • NPI 1386059517
  NPD

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1861717092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 314",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295614",
            "telephone_number": "549-447-5206",
            "fax_number": "954-447-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 314",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "549-447-5206",
            "fax_number": "954-447-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Feathers Dr",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129016461",
            "country_code": "US",
            "telephone_number": "518-335-0485",
            "fax_number": "518-324-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROA",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME123129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15572900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Rivero, DMD
• Lauren Nicole Rivero
• Renee Rivers, LMHC
• Riviera Dental Care PA
• RNC Quality Professional Services, Inc.
• Robert S Tomchik MD PA (Health Circle)
• Robert Warren Enterprises, Inc. (Occupational Medicine Centers Of America)
• Bibi Farida Roberts, LMHC, NCC, CAP
• Nicole Robino
• Eric Lashon Robinson I

• Pain Medicine (Anesthesiology) Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.