Individual provider Active NPI

Diego Echeverri, M.D.

  • Nephrology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1053308338
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME61527 Issued in FL
Practice address
2951 NW 49TH Ave.
Suite #101
Lauderdale Lakes, FL 33313
Phone
(954) 739-2511
Fax
(954) 739-9239
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME61527 FL Primary
Internal Medicine Physician 207R00000X ME61527 FL

Addresses

Primary practice location

2951 NW 49TH Ave.
Suite #101
Lauderdale Lakes, FL 33313

Mailing address

2951 NW 49TH Ave.
Suite #101
Lauderdale Lakes, FL 33313
Phone (954) 739-2511

Other identifiers 5

IdentifierTypeStateIssuer
BCBSOtherFL14795
CAREPLUSOtherFL1000611
370037200MedicaidFL
AVMEDOtherFL217042
AMERIGROUPOtherFL200500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110523000501 FL Practitioner - NephrologyPractitioner - Internal Medicine 3274680319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Nephrology Associates P aGroup PAC ID 5294702791, 3 clinicians

Practice addresses (Care Compare)

2951 NW 49TH Ave
Suite 101
Lauderdale Lakes, FL 33313-1638
Phone (954) 739-2511

Hospital & facility affiliations

  • FMC - Coral Springs Dialysis facility, Pompano Beach, FL, CCN 102855
  • Fresenius Kidney Care Parkland Dialysis facility, Parkland, FL, CCN 682724
  • NW Broward Artificial Kidney Center Dialysis facility, Margate, FL, CCN 102544
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61527FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Nephrology Associates P a Nephrology CurrentSince Feb 10, 1992 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 106
Boca Raton, FL 33428
Phone (561) 488-3338

7501 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (954) 755-4994

2951 NW 49th Ave
Ste 101
Lauderdale Lakes, FL 33313
Phone (305) 739-2511

Interoperability endpoints

  • Direct secure messaging: diego.echeverri.1@20344.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20344/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1053308338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE.",
            "address_2": "SUITE #101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE.",
            "address_2": "SUITE #101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-739-2511",
            "fax_number": "954-739-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRI",
        "first_name": "DIEGO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME61527",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "14795",
            "identifier": "BCBS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1000611",
            "identifier": "CAREPLUS",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370037200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "217042",
            "identifier": "AVMED",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "200500",
            "identifier": "AMERIGROUP",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.