Individual provider Active NPI

Christopher George Vendryes, MD

  • Pain Medicine Physician
  • Miami Shores, FL
National Provider Identifier
1205986916
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME0039411 Issued in FL
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

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
068066400MedicaidFL

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
I20080905000459 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 3375586753 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0039411FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Medical Group Inc Past Accepting new patients
Sunrise Medical Group I, LLC Pain Medicine PastSince Aug 23, 2020 Accepting new patients
Millennium Anesthesia PA Anesthesiology Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.