DR. MIROSLAV RAFAEL BRZOBOHATY (DO) – Internal Medicine Physician, NPI 1407413636

DR. MIROSLAV RAFAEL BRZOBOHATY (DO) is a healthcare provider. based in South miami, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. OS17489 (FL). The NPI Number for DR. MIROSLAV RAFAEL BRZOBOHATY (DO) is 1407413636

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIROSLAV RAFAEL BRZOBOHATY (DO)
NPI
1407413636
Phone
(305) 284-7761
Address
7031 SW 62ND AVE
Enumeration Date
22 May 2019
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Secondary Phone
23944064566
Graduation Year
2019 (7 years ago)
PAC ID
4385009828
Group Practice PAC ID
5294746129
Professional Enrollment ID
I20230504003279
Address ID
FL339194995FO9371XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. MIROSLAV RAFAEL BRZOBOHATY (DO)

  • Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Location

  • 9371 CYPRESS LAKE DR STE 12

    FORT MYERS, FL 339194995

    Phone: (239) 440-6456

    Fax: (239) 236-0337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230504003279IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10433$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3119$0
View full utilization report →

Insurance plans in this area (ZIP 33143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294746129View full group profile
NameSpecialtyState
Internal MedicineOH
Hospitalist, Geriatric MedicineFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
H O S P I T A L I S TFL
-FL

Reviews

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Frequently asked questions

Where can patients find DR. MIROSLAV RAFAEL BRZOBOHATY (DO)'s NPI?
You can confirm DR. MIROSLAV RAFAEL BRZOBOHATY (DO) with NPI 1407413636; it appears in the national provider directory.
Is DR. MIROSLAV RAFAEL BRZOBOHATY (DO) active in the national directory?
DR. MIROSLAV RAFAEL BRZOBOHATY (DO)'s public NPI profile is in an active state.
What field does DR. MIROSLAV RAFAEL BRZOBOHATY (DO) work in?
You can think of DR. MIROSLAV RAFAEL BRZOBOHATY (DO) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MIROSLAV RAFAEL BRZOBOHATY (DO)?
We surface South Miami, Florida for DR. MIROSLAV RAFAEL BRZOBOHATY (DO) based on available NPPES addresses.
Is DR. MIROSLAV RAFAEL BRZOBOHATY (DO) a real provider?
This page reflects official NPPES data for NPI 1407413636. Always confirm identity and privileges with the practice and licensing boards.

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