DR. MIGUEL F ROURA (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1518961085
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
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Provider Addresses for DR. MIGUEL F ROURA (M.D.)
University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States
STE 301
JACKSONVILLE, FL 322164225
Phone: (904) 384-2240
Fax: (904) 448-0030
Type: Location
West Monroe Street, LaVilla, Jacksonville, Duval County, Florida, 32204, United States
STE 200
JACKSONVILLE, FL 322041177
Phone: (904) 384-2240
Fax: (904) 448-0030
Type: Mailing
915 W MONROE ST STE 200
JACKSONVILLE, FL 322041177
Phone: (904) 384-2240
Fax: (904) 486-2314
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 260 Open Payments records for all available years, with a total value of $5,543.
Total Amount is formed as General ($5,543) + Research ($0) + Ownership ($0) = $5,543.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Mannkind Corporation ($682).
Total Amount
$5,543
General + Research + Ownership
Payments
260
Total payment records
General Amount
$5,543
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mannkind Corporation | $682 |
| Medtronic, Inc. | $604 |
| Novo Nordisk Inc | $477 |
| Insulet Corporation | $430 |
| Lilly USA, LLC | $401 |
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: 2010-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100115000421 | I | Endocrinology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 579 | 353 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 319 | 90 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 241 | 80 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 84 | 82 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 79 | 73 | $0 |
Insurance plans in this area (ZIP 32216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| E N D O C R I N O L O G Y | FL | |
| E N D O C R I N O L O G Y | FL | |
| - | PA | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| - | FL |
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