Individual provider Active NPI

Rodolfo Gutierrez-Alsina, MD

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1922025014
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME51217 Issued in FL
Practice address
2387 W 68TH St Ste 401
Hialeah, FL 33016-6890
Phone
(305) 325-8589
Fax
(305) 325-8587
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME51217 FL Primary
Internal Medicine Physician 207R00000X ME51217 FL

Addresses

Primary practice location

2387 W 68TH St Ste 401
Hialeah, FL 33016-6890

Mailing address

2387 W 68TH St Ste 401
Hialeah, FL 33016-6890
Phone (305) 325-8589

Other identifiers 4

IdentifierTypeStateIssuer
11241ZOtherFLMEDICARE PTAN
053343200MedicaidFL
P00129656OtherFLRAILROAD MEDICARE
11241OtherFLBCBS

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
I20041116001031 FL Practitioner - Nephrology 5294714994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2387 W 68TH St
Suite 401
Hialeah, FL 33016-6890
Phone (305) 325-8588

Hospital & facility affiliations

  • DaVita Hialeah Artificial Kidney Center Dialysis facility, Hialeah, FL, CCN 102834
  • ARC Dialysis Miami Lakes Dialysis facility, Miami Gardens, FL, CCN 682718
  • DaVita Center for Kidney Disease at North Shore Dialysis facility, Miami, FL, CCN 102583
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51217FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Lopez de Mendoza, MD PLLC Nephrology CurrentSince May 1, 2023 Accepting new patients
Rodolfo Gutierrez-Alsina MD PA Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients

Locations

2387 W 68th St
Ste 401
Hialeah, FL 33016
Phone (305) 325-8588

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

1321 NW 14th St
Ste 401B
Miami, FL 33125
Phone (305) 324-9262

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Interoperability endpoints

  • Direct secure messaging: wghroguti@yourcarecommunity.org

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.

Hospital & facility affiliations 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1922025014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-325-8589",
            "fax_number": "305-325-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-325-8589",
            "fax_number": "305-325-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ-ALSINA",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME51217",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "11241Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053343200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00129656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.