Active NPI
Avianne Hospedales, MD
- Internal Medicine Physician
- Delray Beach, FL
National Provider Identifier
1144568627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME122120
- Practice address
- 5848 West Atlantic Ave Suite 143
Delray Beach, FL 33484 - Phone
- (561) 270-6950
- Fax
- (561) 404-4028
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME122120 | FL | Primary |
Addresses
Primary practice location
5848 West Atlantic Ave Suite 143
Delray Beach, FL 33484
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (561) 270-6950
Other practice location 1
410 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5529
Phone (305) 827-2977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1144568627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "561-270-6950",
"fax_number": "561-404-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5848 WEST ATLANTIC AVE SUITE 143",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33484",
"telephone_number": "561-270-6950",
"fax_number": "561-404-4028"
}
],
"practiceLocations": [
{
"address_1": "410 E Hallandale Beach Blvd",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330095529",
"country_code": "US",
"telephone_number": "305-827-2977",
"fax_number": "305-692-0717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSPEDALES",
"first_name": "AVIANNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2022-01-24",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME122120",
"primary": true
}
],
"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 Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.