Organization Active NPI

Davinci Medical Associates

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1144534199
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DAVINCI MEDICAL ASSOCIATES
Practice address
13590 Jog Rd Ste C3
Delray Beach, FL 33446-3807
Phone
(561) 637-8383
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Vernon Rebello, M.D.NPI 1902879950
Title
Authorized Official
Phone
(561) 637-8383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

13590 Jog Rd Ste C3
Delray Beach, FL 33446-3807

Mailing address

13590 Jog Rd Ste C3
Delray Beach, FL 33446-3807
Phone (561) 637-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000899 FL Part B Supplier - Clinic/Group Practice 6406048610 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

13590 S Jog Rd
Ste 3C
Delray Beach, FL 33446
Phone (561) 637-8383

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1144534199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 JOG RD STE C3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-637-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JOG RD STE C3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-637-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINCI MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "REBELLO",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-637-8383",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.