Individual provider Active NPI

Rodolfo Carrillo Jimenez, MD

  • Interventional Cardiology Physician
  • Delray Beach, FL
National Provider Identifier
1871513754
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME82672 Issued in FL
Practice address
5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537
Phone
(561) 496-7900
Fax
(615) 365-8115
NPI assigned
Jul 20, 2006
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME82672 FL
Interventional Cardiology Physician 207RI0011X ME82672 FL Primary

Addresses

Primary practice location

5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537

Mailing address

5210 Linton Blvd Ste 301
Delray Beach, FL 33484-6537
Phone (561) 496-7900

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
I20050726000949 FL Practitioner - Cardiovascular Disease (Cardiology) 8224065784 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodolfo Carrillo Jimenez, MD PAGroup PAC ID 5395805600, 4 clinicians
Boca Raton Ekg Readers IncGroup PAC ID 5193865905, 23 clinicians

Practice addresses (Care Compare)

5210 Linton Blvd
Suite 301
Delray Beach, FL 33484-6537
Phone (561) 496-7900

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82672FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
VCT Medical Transportation Current Accepting new patients
Delray Ekg Readers LLC CurrentSince Dec 28, 2020 Accepting new patients
Rodolfo Carrillo Jimenez MD PA Interventional Cardiology CurrentSince Aug 15, 2008 Accepting new patients
Boca Raton Ekg Readers Inc CurrentSince Aug 1, 2020 Accepting new patients
Physicians Group of the Palm Beaches LLC Interventional Cardiology PastSince Jul 1, 2008 Accepting new patients
West Boca Physicians Group Inc Past Accepting new patients
Chris Thompson PA Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

10151 Entrprs Cntr Blvd
Ste 103
Boynton Beach, FL 33437
Phone (561) 733-0379

11195 S Jog Rd
Ste 6
Boynton Beach, FL 33437
Phone (561) 404-0697

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

8188 S Jog Rd
Ste 100
Boynton Beach, FL 33472
Phone (561) 572-2237

8190 S Jog Rd
Ste 105
Boynton Beach, FL 33472
Phone (561) 369-3669

5210 Linton Blvd
Ste 301
Delray Beach, FL 33484
Phone (561) 496-7900

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BADGCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1871513754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD STE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846537",
            "telephone_number": "561-496-7900",
            "fax_number": "877-536-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD STE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846537",
            "telephone_number": "561-496-7900",
            "fax_number": "615-365-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO JIMENEZ",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME82672",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME82672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.