Regine Dorvil, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1185 Issued in FL

Practice address

671 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5141

Phone

(772) 353-5716

Fax

(844) 367-0091

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caring Linq LLCGroup PAC ID 0345476081, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: regine.dorvil@cll-fl1.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Caring Linq LLC

  • General Practice Physician
  • Port Saint Lucie, FL
  • NPI 1518395094
  Medicare reassignment Care Compare group NPD
• Affordable Medical and Wellness Center, LLC

  • Clinic/Center
  • Miramar, FL
  • NPI 1669055646
  NPD Authorized official
• Allure Medical and Wellness Care, LLC

  • Primary Care Clinic/Center
  • Hollywood, FL
  • NPI 1316715345
  NPD Authorized official
• Peace and Heart Mind Care, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hollywood, FL
  • NPI 1215523980
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1043674880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845141",
            "telephone_number": "772-353-5716",
            "fax_number": "844-367-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVIL",
        "first_name": "REGINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "81821",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Dorival, APRN
• Donald Dean Dorrington Jr.
• Sergelyn Dortely
• Andre Dorval, RN
• Christella Dorval
• Michael Doss, D.P.M.
• Doudges Services LLC
• Anne-Maria Hofmann Douglas, APRN
• Samantha Marie Douglas, LMHC
• Tiffany Douglas

• General Practice Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.