Individual provider Active NPI

David M Abellard, MD

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1083698401
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME47706 Issued in FL
Practice address
4849 Lake Worth Rd
Greenacres, FL 33463-3455
Phone
(561) 433-4446
Fax
(561) 433-3026
NPI assigned
Nov 30, 2005
Last updated
Aug 31, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME47706 FL Primary

Addresses

Primary practice location

4849 Lake Worth Rd
Greenacres, FL 33463-3455

Mailing address

4849 Lake Worth Rd
Greenacres, FL 33463-3455
Phone (561) 433-4446

Other identifiers 1

IdentifierTypeStateIssuer
061341000MedicaidFL

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
I20120321000904 FL Practitioner - Internal MedicinePractitioner - Family Practice 4385822592

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47706FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Pavilion of the Palm Beaches Inc PastSince Sep 7, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Millake Healthcare of Lauderhill PastSince Dec 23, 2018 Accepting new patients
Mfda Enterprises LLC PastSince Aug 23, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.abellard@millake.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1083698401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633455",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633455",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELLARD",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME47706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061341000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.