Active NPI
Christopher George Vendryes, MD
- Pain Medicine Physician
- Miami Shores, FL
National Provider Identifier
1205986916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- ME0039411
- Practice address
- 9526 NE 2ND Ave
Suite #101
Miami Shores, FL 33138-2750 - Phone
- (305) 694-3775
- Fax
- (305) 694-3697
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME0039411 | FL | |
| Pain Medicine Physician | 208VP0000X | ME0039411 | FL | Primary |
Addresses
Primary practice location
9526 NE 2ND Ave
Suite #101
Miami Shores, FL 33138-2750
Mailing address
9526 NE 2ND Ave
Suite #101
Miami Shores, FL 33138-2750
Phone (305) 694-3775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068066400 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0039411 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Medical Group Inc | Past | Accepting new patients | |
| Sunrise Medical Group I, LLC | Pain Medicine | Past | Accepting new patients |
| Millennium Anesthesia PA | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Miami Shores, FL
- NPI 1821292996
-
- Anesthesiology Physician
- Sunrise, FL
- NPI 1285741322
-
- Neurology Physician
- Hollywood, FL
- NPI 1912957697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1205986916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 NE 2ND AVE",
"address_2": "SUITE #101",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382750",
"telephone_number": "305-694-3775",
"fax_number": "305-694-3697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9526 NE 2ND AVE",
"address_2": "SUITE #101",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382750",
"telephone_number": "305-694-3775",
"fax_number": "305-694-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDRYES",
"first_name": "CHRISTOPHER",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME0039411",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME0039411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068066400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.