Active NPI
Philip Miles Buttaravoli, M.D.
- Emergency Medicine Physician
- Vero Beach, FL
National Provider Identifier
1003878653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME0056675
- Practice address
- 755 27TH Ave SW
Suite 9
Vero Beach, FL 32968-4200 - Phone
- (772) 299-0909
- Fax
- (772) 299-0989
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0056675 | FL | Primary |
Addresses
Primary practice location
755 27TH Ave SW
Suite 9
Vero Beach, FL 32968-4200
Mailing address
8636 Falcon Green Dr
West Palm Beach, FL 33412-1576
Phone (561) 775-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056675 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lucie Medical Center Walk-in Clinic LLC | Past | Accepting new patients | |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
| Town & Country Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Palms of Pasadena Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Berner ER Services Partnership | Emergency Medicine | Past | Accepting new patients |
| JD Psychiatric Services Inc | Past | Accepting new patients | |
| Ipn Emergency Physicians of North Florida PA | Emergency Medicine | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Clewiston, FL
- NPI 1225087059
-
- Emergency Medicine Physician
- Crestview, FL
- NPI 1992150007
-
- Emergency Medicine Physician
- Starke, FL
- NPI 1619287158
-
- Psychiatric/Mental Health Nurse Practitioner
- Deltona, FL
- NPI 1932394756
-
- Emergency Medicine Physician
- South Pasadena, FL
- NPI 1164436341
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1851444350
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1629024088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1003878653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8636 FALCON GREEN DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334121576",
"telephone_number": "561-775-3388",
"fax_number": "561-622-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 27TH AVE SW",
"address_2": "SUITE 9",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329684200",
"telephone_number": "772-299-0909",
"fax_number": "772-299-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTARAVOLI",
"first_name": "PHILIP",
"middle_name": "MILES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME0056675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.