Individual provider Active NPI

Alejandro J Andreu, MD

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1215095872
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92107 Issued in FL
Practice address
21150 Biscayne Blvd Ste 302
Aventura, FL 33180-1250
Phone
(305) 931-0504
NPI assigned
Dec 5, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ME92107 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd Ste 302
Aventura, FL 33180-1250

Mailing address

21150 Biscayne Blvd
Suite 302
Aventura, FL 33180
Phone (305) 931-0504

Other identifiers 1

IdentifierTypeStateIssuer
U5709WOtherFLMEDICARE PTAN

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
I20050930000728 FL Practitioner - Internal Medicine 9335174036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Medical Associates of AventuraGroup PAC ID 0143648873, 3 clinicians

Practice addresses (Care Compare)

21097 NE 27TH CT
Suite 300
Aventura, FL 33180-1206
Phone (786) 480-5707

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92107FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Medical Associates of Aventura Internal Medicine CurrentSince Jan 12, 2021 Accepting new patients

Locations

21097 NE 27th Ct
Ste 300
Miami, FL 33180
Phone (786) 244-2700

3435 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 947-3700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIBCD

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 2

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215095872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "SUITE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180",
            "telephone_number": "305-931-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD STE 302",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801250",
            "telephone_number": "305-931-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREU",
        "first_name": "ALEJANDRO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U5709W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.