RONY PORUDOMINSKY MD
NPI 1639119506
Internal Medicine - Gastroenterology in Coral Springs, FL
About Rony Porudominsky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RONY PORUDOMINSKY MD (NPI 1639119506) is an individual gastroenterology provider in Coral Springs, Florida, licensed in Florida (56934) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rony Porudominsky 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.
Medicare Billing Reassignment
Medicare enrollment records show Rony Porudominsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pembroke Pines, FL 33026
- Reassigned Medicare billing, Florida enrollment
- 325 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D0723956
Rony Porudominsky MD · Coral Springs, FLAreas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORAL SPRINGS, FL 33065
CORAL SPRINGS, FL 33065
CORAL SPRINGS, FL 33065
CORAL SPRINGS, FL 33065
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 Rony Porudominsky's NPI number?
The NPI number for Rony Porudominsky is 1639119506. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is Rony Porudominsky located?
Rony Porudominsky practices at 9750 NW 33rd St Suite 208, Coral Springs, FL 33065. The listed phone number is (954) 341-3699.
What is Rony Porudominsky's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Rony Porudominsky enrolled in Medicare?
Yes. Rony Porudominsky 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.
Which organization bills Medicare for Rony Porudominsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rony Porudominsky reassigns Medicare benefits to Gastro Health, LLC (Pembroke Pines, FL). The 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 Rony Porudominsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Does Rony Porudominsky hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0723956) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rony Porudominsky accept?
Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed and 8 other insurers list Rony Porudominsky 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.
When was this NPI record last updated?
The NPPES record for Rony Porudominsky was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Rony Porudominsky, MD · NPI 1639119506
Gastroenterology physician in Coral Springs, Florida. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1639119506 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 56934 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 9750 NW 33RD ST, SUITE 208, Coral Springs, FL 33065-4042
- **Phone:** (954) 341-3699 · **Fax:** (954) 341-3778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastro Health, LLC (NPI 1457026932, Pembroke Pines, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** October 10, 2012
- **Other identifiers:** Medicare UPIN E67475; Medicare ID-Type Unspecified 10764 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639119506) · Data from the CMS NPPES public registry.