Active NPI
Rhoderick C Nazario, M.D.
- Pulmonary Disease Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 84666
- Practice address
- 1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405 - Phone
- (407) 933-1221
- Fax
- (407) 933-0747
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 84666 | FL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 84666 | FL |
Addresses
Primary practice location
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Mailing address
1121 N Central Ave
Suite B
Kissimmee, FL 34741-4405
Phone (407) 933-1221
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264756700 | Medicaid | FL | |
| 3892967004 | Other | FL | CIGNA PROVIDER ID |
| 285149 | Other | FL | AVMED PROVIDER ID |
| 4800614 | Other | FL | UHC PROVIDER ID |
| 7728680 | Other | FL | AETNA PROVIDER ID |
| 17116 | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84666 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Disease Specialists, PA | Pulmonary Disease | Current | Accepting new patients |
| Ronaz Medical Management | Pulmonary Disease | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221
1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221
1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2250 Bedford Rd
Orlando, FL 32803
Phone (407) 303-1766
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1649484809
-
- Pulmonary Disease Physician
- Winter Garden, FL
- NPI 1699270959
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1962466730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N CENTRAL AVE",
"address_2": "SUITE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414405",
"telephone_number": "407-933-1221",
"fax_number": "407-933-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N CENTRAL AVE",
"address_2": "SUITE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414405",
"telephone_number": "407-933-1221",
"fax_number": "407-933-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIO",
"first_name": "RHODERICK",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "84666",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "84666",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264756700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID",
"identifier": "3892967004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER ID",
"identifier": "285149",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER ID",
"identifier": "4800614",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "7728680",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "17116",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.