CORAL REEF MEDICAL GROUP LLC
NPI 1982870143
Internal Medicine in Homestead, FL

Active since May 07, 2008CLIA 10D1101281 · Waiver
30334 OLD DIXIE HWY, HOMESTEAD, FL 33033(786) 243-0149(786) 234-2612 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Coral Reef Medical Group Llc NPPES

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

CORAL REEF MEDICAL GROUP LLC (NPI 1982870143) is a healthcare organization registered as an internal medicine in Homestead, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Robert Blanco, Owner, as its authorized official.

NPPES Registry Identity

NPI1982870143
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCORAL REEF MEDICAL GROUP LLC
Location Address30334 OLD DIXIE HWYHomestead, FL 33033-3215
Mailing Address30334 Old Dixie HwyHomestead, FL 33033-3215 · (786) 243-0149 · Fax (786) 234-2612
Fax(786) 234-2612
Organization SubpartNo
Authorized OfficialRobert BlancoOwner · (786) 243-0149
Enumeration DateMay 7, 2008
Last NPPES UpdateMarch 12, 2013
✔ NPI 1982870143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME57421
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ARNP619302 (FL), PA9103866 (FL)
30334 OLD DIXIE HWY, Homestead, FL 33033

Other Identifiers 1

Medicare UPINBD867FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coral Reef Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20090109000261Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Coral Reef Medical Group LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1336231562
30334 OLD DIXIE HWY
Homestead, FL 33033
(786) 243-0149
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1235534546
950 N KROME AVE STE 202
Homestead, FL 33030
(305) 404-5184
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1811313190
12376 QUAIL ROOST DR
Miami, FL 33177
(786) 237-3070
✔ PECOS6.8 mi
Nurse Practitioner
NPI 1003288291
9635 SW 181ST TER
Palmetto Bay, FL 33157
(305) 238-8561
✔ PECOS✔ Accepts Medicare9.1 mi
Nurse Practitioner
NPI 1194121939
14623 SW 115TH ST
Miami, FL 33186
(305) 342-6059
✔ PECOS✔ Accepts Medicare12 mi

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 10D1101281

Coral Reef Medical Group · Homestead, FL
Active · expires Jun 23, 2027
CLIA Number10D1101281
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorRobert Blanco
Laboratory Phone(786) 243-0149
Laboratory LocationCoral Reef Medical Group30334 Old Dixie Hwy, Homestead, FL 33033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coral Reef Medical Group LLC's NPI number?

The NPI number for Coral Reef Medical Group LLC is 1982870143. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Coral Reef Medical Group LLC located?

Coral Reef Medical Group LLC is located at 30334 Old Dixie Hwy, Homestead, FL 33033. The listed phone number is (786) 243-0149.

What is Coral Reef Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Coral Reef Medical Group LLC enrolled in Medicare?

Yes. Coral Reef Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Coral Reef Medical Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coral Reef Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Coral Reef Medical Group LLC. 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 (3), Family Practice (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coral Reef Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1101281) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coral Reef Medical Group LLC accept?

Health plans from AvMed, Molina Healthcare and Wellpoint list Coral Reef Medical Group LLC 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 Coral Reef Medical Group LLC was last updated on March 12, 2013. 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.