Individual provider Active NPI

Julio C. Vijil Jr., MD, MPH

  • Nephrology Physician
  • Plantation, FL
National Provider Identifier
1114030673
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME87467 Issued in FL
Practice address
1733 N University Dr
Plantation, FL 33322-4111
Phone
(954) 247-2168
Fax
(877) 582-3859
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 ME87467 FL Primary
Nephrology Physician 207RN0300X 036109508 IL

Addresses

Primary practice location

1733 N University Dr
Plantation, FL 33322-4111

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (954) 986-9008

Other practice location 1

1150 N 35th Ave, Suite 465
Hollywood, FL 33021-5467
Phone (954) 986-9008

Other identifiers 2

IdentifierTypeStateIssuer
001064100MedicaidFL
1114030673MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address julio.vijil.2@29601.direct.athenahealth.com
Direct Messaging Address julio.vijil@SFNC.eclinicalworks.com Health Information Exchange (HIE)
Direct Messaging Address julio.vijil.1@29601.direct.athenahealth.com

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
I20091030000217 FL Practitioner - NephrologyPractitioner - Internal Medicine 1850329970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Specialty LLCGroup PAC ID 2365729308, 16 clinicians

Practice addresses (Care Compare)

1733 N University Dr
Plantation, FL 33322-4111
Phone (954) 247-2168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87467FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Healthcare Holdings, LLLP CurrentSince May 11, 2024 Accepting new patients
Conviva Specialty, LLC CurrentSince Mar 16, 2026 Accepting new patients
Hoover Family Medicine PA PastSince May 11, 2024 Accepting new patients
South Florida Nephrology PA Past Accepting new patients

Locations

2400 SW 69th Ave
Ste 100
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1733 N University Dr
Plantation, FL 33322
Phone (954) 247-2168

Interoperability endpoints

  • Direct secure messaging: julio.vijil.1@29601.direct.athenahealth.com
  • Direct secure messaging: julio.vijil@sfnc.eclinicalworks.com
  • Direct secure messaging: julio.vijil.2@29601.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1114030673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224111",
            "telephone_number": "954-247-2168",
            "fax_number": "877-582-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave, Suite 465",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215467",
            "country_code": "US",
            "telephone_number": "954-986-9008",
            "fax_number": "954-986-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIJIL",
        "first_name": "JULIO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME87467",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036109508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001064100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114030673",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julio.vijil.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1733 N University Dr",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333224111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julio.vijil@SFNC.eclinicalworks.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1150 N 35th Ave, Suite 465",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julio.vijil.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1733 N University Dr",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333224111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.