Fella Medical Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FELLA MEDICAL GROUP PA

Practice address

2820 NE 214TH St
Aventura, FL 33180-1268

Phone

(415) 649-5531

NPI assigned

Feb 9, 2022

Last updated

Jun 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafid Fadul, MDNPI 1619134780

Title

MD

Phone

(415) 707-3882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, OH2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafid A. Fadul

  • Critical Care Medicine (Internal Medicine) Physician
  • Cleveland, OH
  • NPI 1619134780

  WY

  Medicare reassignment Authorized official
• Anita Velta Grinevics, RD

  • Registered Dietitian
  • Cromwell, CT
  • NPI 1972872554

  OH

  Medicare reassignment
• Maia Marces

  • Social Worker
  • Laramie, WY
  • NPI 1700642998
  NPD
• Lindsey Elizabeth Curtis-Baker, LMSW

  • Social Worker
  • Junction City, KS
  • NPI 1710401120
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1114671096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4540",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "415-707-3882",
            "fax_number": "415-949-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801268",
            "telephone_number": "415-649-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLA MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "FADUL",
        "authorized_official_first_name": "RAFID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "415-707-3882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fastcare LLC
• Hanna Fazylova, MSED
• Hamid R Feiz, MD
• Ira M Feldman, MD
• Armanda Felix
• Shaindy Fensterszaub, DPT
• Regina Fernandez Perdiz
• Adrian Fernandez
• Adrianna Fernandez
• Hugo S Fernandez, MD

• Internal Medicine Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.