Richard Fairfax Pell IV, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME96926 Issued in FL

Practice address

925 NE 30TH Ter
Suite 102
Homestead, FL 33033-7613

Phone

(305) 247-1701

Fax

(305) 247-1799

NPI assigned

Dec 8, 2005

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 4

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

Orthopedic Surgery

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homestead Hospital Hospital, Homestead, FL, CCN 100125

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Ortho Florida, LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1225833858
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Homestead Hospital, Inc.

  • General Acute Care Hospital
  • Homestead, FL
  • NPI 1578547865
  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1891770194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 102",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-247-1701",
            "fax_number": "305-247-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "SUITE 102",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-247-1701",
            "fax_number": "305-247-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "RICHARD",
        "middle_name": "FAIRFAX",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME96926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277567100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "305551",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92026",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA",
            "identifier": "SG082540",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dolores Elizabeth Pedraza
• Katherine Lee Pedraza
• Jennifer Pedroso Riesgo
• Yoandys Pelaez Figueroa
• Arielky Pelier
• Gladys Pellot
• Eileen Pena Ceballo
• Evelin Pena Clemente
• Aymee De la Caridad Pena Cordero
• Maylin Pena Corrales

• Orthopaedic Surgery Physician in Homestead, FL
• Providers in Homestead, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.