ROBERTO POLANCO MD PA
NPI 1669653291
Specialist in Miami, FL
About Roberto Polanco Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERTO POLANCO MD PA (NPI 1669653291) is a healthcare organization registered as a specialist in Miami, Florida and active in the NPI registry since November 2007. The organization lists Onel Montalvo, Manager, 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)
Roberto Polanco Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Roberto Polanco MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Lauderdale Lakes, FL 33313
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 Roberto Polanco MD PA's NPI number?
The NPI number for Roberto Polanco MD PA is 1669653291. It was assigned to this organization in the NPPES registry on November 26, 2007.
Where is Roberto Polanco MD PA located?
Roberto Polanco MD PA is located at 8501 SW 124th Ave 102A, Miami, FL 33183. The listed phone number is (305) 228-4422.
What is Roberto Polanco MD PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Roberto Polanco MD PA enrolled in Medicare?
Yes. Roberto Polanco MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roberto Polanco MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Roberto Polanco MD 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. The largest specialties are Nurse Practitioner (12) and Anesthesiology (1). Of these, 2 practice at this address and 8 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 Roberto Polanco MD PA was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Roberto Polanco Md Pa · NPI 1669653291
Specialist organization in Miami, Florida. Organization record, active in the CMS NPPES registry since November 26, 2007.
## Identity
- **NPI:** 1669653291 (Entity type: Organization)
- **Enumerated:** November 26, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Onel Montalvo, MANAGER
## Practice location
- **Address:** 8501 SW 124TH AVE, 102A, Miami, FL 33183-4627
- **Phone:** (305) 228-4422 · **Fax:** (305) 596-4422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Anesthesiology (1); 2 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1669653291) · Data from the CMS NPPES public registry.