1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Family Medicine
  6. NPI Profile

DR. RAUL ROA MD
NPI 1316110653
Family Medicine in Miami, FL

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment
1321 NW 14TH ST STE 102, MIAMI, FL 33125(305) 545-4980(305) 545-4913 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raul Roa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAUL ROA MD (NPI 1316110653) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME102522) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Larkin Community Hospital Palm Springs Campus, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1316110653
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAUL ROACredential: MD
Location Address1321 NW 14TH ST STE 102Miami, FL 33125-1653
Mailing Address1321 Nw 14th St Ste 102Miami, FL 33125-1653 · (305) 545-4980 · Fax (305) 545-4913
Phone(305) 545-4980
Fax(305) 545-4913
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 8, 2008
Last NPPES UpdateAugust 10, 2017
✔ NPI 1316110653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME102522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1321 NW 14TH ST STE 102, Miami, FL 33125
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul Roa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143364448
PECOS Enrollment IDI20100224000989
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,002 services285 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
906 services259 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
257 services192 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
238 services179 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100050
Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County
Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Keralty Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100284
Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims605 services$0.92 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers42 claims763 services$4.68 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims5,449 services$0.27 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers24 claims5,412 services$0.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$54.74 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$17.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IRINA LICEA MD
Family Medicine
1321 NW 14TH ST STE 102
MIAMI, FL 33125
Miami-Dade County (305) 545-4980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raul Roa's NPI number?

The NPI number for Raul Roa is 1316110653. It was assigned to this individual provider in the NPPES registry on April 8, 2008.

Where is Raul Roa located?

Raul Roa practices at 1321 NW 14th St Ste 102, Miami, FL 33125. The listed phone number is (305) 545-4980.

What is Raul Roa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raul Roa enrolled in Medicare?

Yes. Raul Roa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raul Roa accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Raul Roa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raul Roa affiliated with any hospitals?

According to CMS data, Raul Roa is affiliated with Larkin Community Hospital Palm Springs Campus, Hca Florida Mercy Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Raul Roa was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.