RONY PORUDOMINSKY MD
NPI 1639119506
Internal Medicine - Gastroenterology in Coral Springs, FL

Active since June 07, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0723956 · Waiver
82.63/100
CMS Quality Rating
9750 NW 33RD ST, SUITE 208, CORAL SPRINGS, FL 33065(954) 341-3699(954) 341-3778 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, 2026, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1639119506
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRONY PORUDOMINSKYCredential: MD
Location Address9750 NW 33RD ST, SUITE 208Coral Springs, FL 33065-4042
Mailing Address5431 N University DrCoral Springs, FL 33067-4639 · (954) 344-2522 · Fax (954) 344-9189
Fax(954) 341-3778
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 10, 2012
NPI 1639119506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · 56934
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9750 NW 33RD ST, Coral Springs, FL 33065

Other Identifiers 2

Medicare UPINE67475
Medicare ID-Type Unspecified10764FL

Accepted 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

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.

PECOS PAC ID4688675523
PECOS Enrollment IDI20070219000700
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.

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, FL
Active · expires Aug 31, 2026
CLIA Number10D0723956
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRony Porudominsky
Laboratory Phone(954) 341-3699
Laboratory LocationRony Porudominsky MD9750 NW 33rd Street #208, Coral Springs, FL 33065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services51 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
23 services23 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
19 services17 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

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.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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.

Psychiatry & Neurology (Psychiatry)
9750 NW 33RD ST, SUITE 211
CORAL SPRINGS, FL 33065
Dentist (General Practice)
9750 NW 33RD ST, SUITE 217
CORAL SPRINGS, FL 33065
Specialist
9750 NW 33RD ST, SUITE 207
CORAL SPRINGS, FL 33065
Family Medicine (Adult Medicine)
9750 NW 33RD ST, 214
CORAL SPRINGS, FL 33065
Massage Therapist
9750 NW 33RD ST, SUITE 201
CORAL SPRINGS, FL 33065
Orthopaedic Surgery (Hand Surgery)
9750 NW 33RD ST, SUITE 120
CORAL SPRINGS, FL 33065
Pediatrics
9750 NW 33RD ST, 101
CORAL SPRINGS, FL 33065
Podiatrist (Foot & Ankle Surgery)
9750 NW 33RD ST, SUITE 201
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.

Does Rony Porudominsky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0723956) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rony Porudominsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare and 1 other insurer 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 13 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.