Individual provider Active NPI

Roselind Bardisa, DO

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1881791234
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 8030 Issued in FL
Practice address
9360 Sunset Dr Ste 205
Miami, FL 33173-3287
Phone
(305) 661-2002
Fax
(305) 661-2003
NPI assigned
Sep 20, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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 OS 8030 FL Primary

Addresses

Primary practice location

9360 Sunset Dr Ste 205
Miami, FL 33173-3287

Mailing address

9360 Sunset Dr Ste 205
Miami, FL 33173-3287
Phone (305) 661-2002

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
I20051024000138 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 5496771248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7374 SW 93Rd Ave
Suite 202
Miami, FL 33173-3246
Phone (305) 661-2002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 8030FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bardisa Lyl Center, Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Value Healthcare Partners PastSince Dec 1, 2024 Accepting new patients

Locations

7374 SW 93rd Ave
Ste 202
Miami, FL 33173
Phone (305) 273-4484

7374 SW 93rd Ave
Ste 203
Miami, FL 33173
Phone (305) 661-2002

9360 Sunset Dr
Ste 205
Miami, FL 33173
Phone (305) 596-3100

Interoperability endpoints

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

Organizations & group practices 3

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 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1881791234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 SUNSET DR STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733287",
            "telephone_number": "305-661-2002",
            "fax_number": "305-661-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 SUNSET DR STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733287",
            "telephone_number": "305-661-2002",
            "fax_number": "305-661-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDISA",
        "first_name": "ROSELIND",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 8030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.