RICARDO BUITRAGO PSYD PA
NPI 1417667221
Psychologist - Clinical in Miramar, FL
About Ricardo Buitrago Psyd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICARDO BUITRAGO PSYD PA (NPI 1417667221) is a healthcare organization registered as a clinical in Miramar, Florida and active in the NPI registry since December 2022. The organization lists Ricardo Buitrago, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ricardo Buitrago Psyd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ricardo Buitrago Psyd PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ricardo Buitrago Psyd PA's NPI number?
The NPI number for Ricardo Buitrago Psyd PA is 1417667221. It was assigned to this organization in the NPPES registry on December 2, 2022.
Where is Ricardo Buitrago Psyd PA located?
Ricardo Buitrago Psyd PA is located at 2281 SW 129th Ave, Miramar, FL 33027. The listed phone number is (516) 286-8909.
What is Ricardo Buitrago Psyd PA's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Ricardo Buitrago Psyd PA enrolled in Medicare?
Yes. Ricardo Buitrago Psyd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ricardo Buitrago Psyd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Ricardo Buitrago Psyd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ricardo Buitrago Psyd PA was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ricardo Buitrago Psyd Pa · NPI 1417667221
Clinical organization in Miramar, Florida. Organization record, active in the CMS NPPES registry since December 2, 2022.
## Identity
- **NPI:** 1417667221 (Entity type: Organization)
- **Enumerated:** December 2, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Ricardo Buitrago, PRESIDENT
## Practice location
- **Address:** 2281 SW 129TH AVE, Miramar, FL 33027-2652
- **Phone:** (516) 286-8909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417667221) · Data from the CMS NPPES public registry.