Organization Active NPI

Roger L. Moebus, M.D.,P.a.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1912270802
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME16263 Issued in FL
Legal business name
ROGER L. MOEBUS, M.D.,P.A.
Practice address
7825 SW 53Rd CT
Miami, FL 33143-5834
Phone
(305) 663-1128
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Roger L. Moebus, M.D.
Title
President
Phone
(305) 663-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME16263 FL Primary

Addresses

Primary practice location

7825 SW 53Rd CT
Miami, FL 33143-5834

Mailing address

7825 SW 53Rd CT
Miami, FL 33143-5834
Phone (305) 663-1128

Other identifiers 1

IdentifierTypeStateIssuer
78476BOtherMEDICARE P-TAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1912270802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 SW 53RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435834",
            "telephone_number": "305-663-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 SW 53RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331435834",
            "telephone_number": "305-663-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. MOEBUS, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MOEBUS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-663-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME16263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "78476B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.