Individual provider Active NPI

Gus Armenakis, M.D.

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1144205907
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89221 Issued in FL
Practice address
7421 N University Dr
Suite 306
Tamarac, FL 33321-2977
Phone
(954) 721-8945
Fax
(954) 721-8946
NPI assigned
Dec 14, 2005
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME89221 FL Primary

Addresses

Primary practice location

7421 N University Dr
Suite 306
Tamarac, FL 33321-2977

Mailing address

7421 N University Dr
Suite 306
Tamarac, FL 33321-2977
Phone (954) 721-8945

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
I20040802000354 FL Practitioner - Internal Medicine 1355312794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 N State Rd
7 North West Medical Center
Margate, FL 33063-5727
Phone (954) 974-0400

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 721-2200

7421 N University Dr
Suite 306
Tamarac, FL 33321-6102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89221FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gus Armenakis MD PA Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Parkland Medical Group Internal Medicine Current Accepting new patients

Locations

7421 N University Dr
Ste 306
Tamarac, FL 33321
Phone (954) 721-4300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1144205907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 306",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-721-8945",
            "fax_number": "954-721-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 306",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-721-8945",
            "fax_number": "954-721-8946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENAKIS",
        "first_name": "GUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.