Individual provider Active NPI

Monica Marie Companioni, M.D.

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1083823447
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME105583 Issued in FL
Practice address
601 NW 179TH Ave Ste 104
Pembroke Pines, FL 33029-2819
Phone
(954) 233-1555
Fax
(954) 374-9481
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME105583 FL Primary

Addresses

Primary practice location

601 NW 179TH Ave Ste 104
Pembroke Pines, FL 33029-2819

Mailing address

601 NW 179TH Ave Ste 104
Pembroke Pines, FL 33029-2819
Phone (954) 233-1555

Other identifiers 1

IdentifierTypeStateIssuer
2801100MedicaidFL

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
I20101118001192 FL Practitioner - Obstetrics/Gynecology 9537355342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

17900 NW 5TH St
204 Adult and Pediatric Dermatology
Pembroke Pines, FL 33029-2809
Phone (954) 436-2200

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Nov 15, 2010 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

6175 NW 153rd St
Ste 332
Miami Lakes, FL 33014
Phone (954) 447-1446

601 NW 179th Ave
Ste 104
Pembroke Pines, FL 33029
Phone (954) 233-1555

17901 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 442-8722

301 NW 179th Ave
Ste 102
Pembroke Pines, FL 33029
Phone (954) 447-1446

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDBHBD/Endpoint/DDBHBD

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 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1083823447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 179TH AVE STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292819",
            "telephone_number": "954-233-1555",
            "fax_number": "954-374-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 179TH AVE STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292819",
            "telephone_number": "954-233-1555",
            "fax_number": "954-374-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPANIONI",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME105583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.