Individual provider Active NPI

Luis Fernando Mora Vieira, MD

  • Clinical Cardiac Electrophysiology Physician
  • Delray Beach, FL
National Provider Identifier
1104003664
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME122226 Issued in FL
Practice address
5258 Linton Blvd Ste 106
Delray Beach, FL 33484
Phone
(561) 303-3491
Fax
(561) 303-3496
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 001574 GA
Clinical Cardiac Electrophysiology Physician 207RC0001X ME122226 FL Primary

Addresses

Primary practice location

5258 Linton Blvd Ste 106
Delray Beach, FL 33484

Mailing address

5258 Linton Blvd Ste 106
Delray Beach, FL 33484-6529
Phone (561) 303-3491

Other identifiers 1

IdentifierTypeStateIssuer
014999300MedicaidFL

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
I20151104003139 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 4587974472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ecg Consultants of Bethesda LLCGroup PAC ID 8628134665, 20 clinicians
Yoel R Vivas MD PAGroup PAC ID 0446415897, 6 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7995
Phone (561) 737-7733

2815 S Seacrest Blvd
Attn Finance
Boynton Beach, FL 33435-7934

5258 Linton Blvd
Suite 106
Delray Beach, FL 33484-6529
Phone (561) 303-3491

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122226FLMDClinical Cardiac Electrophysiology Physician
001574GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yoel R Vivas MD PA Clinical Cardiac Electrophysiology CurrentSince Jul 1, 2015 Accepting new patients
Ecg Consultants of Bethesda LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5258 Linton Blvd
Ste 106
Delray Beach, FL 33484
Phone (561) 303-3491

2150 Lake Ida Rd
Ste 7
Delray Beach, FL 33445
Phone (561) 221-0170

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 2

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 4

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1104003664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD STE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846529",
            "telephone_number": "561-303-3491",
            "fax_number": "877-248-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD STE 106",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-303-3491",
            "fax_number": "561-303-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA VIEIRA",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "001574",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME122226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014999300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.