Individual provider Active NPI

Ruchi Kumar-Willig, D.O.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1881966786
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS11564 Issued in FL
Practice address
700 N Hiatus Rd
Suite 105
Pembroke Pines, FL 33026-5206
Phone
(954) 433-4744
Fax
(954) 885-6997
NPI assigned
Feb 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS11564 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd
Suite 105
Pembroke Pines, FL 33026-5206

Mailing address

2905 N Commerce Pkwy
Miramar, FL 33025-3957
Phone (954) 967-6550

Other identifiers 1

IdentifierTypeStateIssuer
006311200MedicaidFL

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
I20120809000438 FL Practitioner - Internal Medicine 1456507201 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11564FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Sep 1, 2013 Accepting new patients

Locations

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1881966786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N COMMERCE PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253957",
            "telephone_number": "954-967-6550",
            "fax_number": "954-893-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "SUITE 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-433-4744",
            "fax_number": "954-885-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR-WILLIG",
        "first_name": "RUCHI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006311200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.