Individual provider Active NPI

Brandie Ann Astudillo-Mounier, MD

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1114353976
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME117611 Issued in FL
Practice address
3401 Pga Blvd Ste 100
Palm Beach Gardens, FL 33410-2824
Phone
(561) 219-1000
Fax
(561) 694-6018
NPI assigned
Sep 24, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME117611 FL Primary

Addresses

Primary practice location

3401 Pga Blvd Ste 100
Palm Beach Gardens, FL 33410-2824

Mailing address

PO Box 69
Jupiter, FL 33468-0069
Phone (561) 932-0995

Other identifiers 2

IdentifierTypeStateIssuer
010753200MedicaidFL
ME67289OtherMEDICAL LICENSE

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
I20131104001035 FL Practitioner - Family Practice 7214162031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1801 NW 9TH Ave 5TH FL
Miami, FL 33136-1125

1801 NW 9TH Ave 5TH FLR
Miami, FL 33136-1125

3401 Pga Blvd
Suite 400
Palm Beach Gardens, FL 33410-2825
Phone (305) 243-6696

3401 Pga Boulevard S
400 Uhealth at Palm Beach Gardens
West Palm Beach, FL 33410-2825
Phone (305) 243-4902

4800 NE 20TH Ter
Fort Lauderdale, FL 33308-4510

4800 NE 20TH Terrace
201 Uhealth Cardiology at Ft Lauderdale
Fort Lauderdale, FL 33308-4510
Phone (305) 243-3440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117611FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

3401 Pga Blvd
Ste 400
Palm Beach Gardens, FL 33410
Phone (561) 219-1000

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114353976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680069",
            "telephone_number": "561-932-0995",
            "fax_number": "561-932-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102824",
            "telephone_number": "561-219-1000",
            "fax_number": "561-694-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTUDILLO-MOUNIER",
        "first_name": "BRANDIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010753200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME67289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.