Individual provider Active NPI

Miguel A Rosada, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1881650539
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME60715 Issued in FL
Practice address
2485 Monument Rd
Suite 12
Jacksonville, FL 32225-3531
Phone
(904) 383-1026
Fax
(904) 383-1901
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME60715 FL Primary

Addresses

Primary practice location

2485 Monument Rd
Suite 12
Jacksonville, FL 32225-3531

Mailing address

PO Box 44008
Ufjp Community Health Family Medicine
Jacksonville, FL 32231-4008
Phone (904) 383-1900

Other identifiers 1

IdentifierTypeStateIssuer
34436OtherFLMEDICARE GROUP #

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
I20070420000363 FL Practitioner - Family Practice 0941305882 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

1255 Lila St
Jacksonville, FL 32208-3550
Phone (904) 244-4472

Hospital & facility affiliations

  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hma/Solantic Joint Venture, LLC CurrentSince Jan 25, 2011 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jul 31, 2007 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Jan 25, 2011 Accepting new patients
Solantic/South Florida, LLC CurrentSince Jan 25, 2011 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Mar 28, 2011 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 4, 2011 Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince Jan 4, 2011 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Solantic LLC Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

5915 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 378-0121

12303 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 288-0277

2485 Monument Rd
Ste 12
Jacksonville, FL 32225
Phone (904) 383-1026

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

Interoperability endpoints

  • Direct secure messaging: mrosada59465@direct.shands.ufl.edu

Organizations & group practices 10

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.

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1881650539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP COMMUNITY HEALTH FAMILY MEDICINE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-383-1900",
            "fax_number": "904-383-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 MONUMENT RD",
            "address_2": "SUITE 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253531",
            "telephone_number": "904-383-1026",
            "fax_number": "904-383-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME60715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "34436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.