Active NPI
Diego Echeverri, M.D.
- Nephrology Physician
- Lauderdale Lakes, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME61527
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS | Other | FL | 14795 |
| CAREPLUS | Other | FL | 1000611 |
| 370037200 | Medicaid | FL | |
| AVMED | Other | FL | 217042 |
| AMERIGROUP | Other | FL | 200500 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Fresenius Kidney Care Parkland
- NW Broward Artificial Kidney Center
- University Hospital and Medical Center
- HCA Florida Northwest Hospital
- Westside Regional Medical Center
- Broward Health Coral Springs
- North Shore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61527 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Nephrology Associates P a | Nephrology | Current | 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
- diego.echeverri.1@20344.direct.athenahealth.com
- 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.
-
- Nephrology Physician
- Lauderdale Lakes, FL
- NPI 1538253778
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Coral Springs, FL
- NPI 1811138779
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Margate, FL
- NPI 1831420066
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parkland, FL
- NPI 1013535517
Dialysis facility
-
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
-
- General Acute Care Hospital
- Lauderdale Lakes, FL
- NPI 1184440828
-
- General Acute Care Hospital
- Miami, FL
- NPI 1194552141
-
- General Acute Care Hospital
- Coral Springs, FL
- NPI 1174551147
-
- General Acute Care Hospital
- Margate, FL
- NPI 1063466563
-
- General Acute Care Hospital
- Tamarac, FL
- NPI 1144274770
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.