Active NPI
Aimee Pooneh Vafaie, MD
- Pediatrics Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME129495
- Practice address
- 1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708 - Phone
- (214) 676-1531
- NPI assigned
- Jul 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L9529 | TX | |
| Pediatrics Physician | 208000000X | ME129495 | FL | Primary |
Addresses
Primary practice location
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Mailing address
1317 Edgewater Dr Unit 495
Orlando, FL 32804-6350
Phone (214) 676-1531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166331203 | Medicaid | TX |
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 |
|---|---|---|---|
| ME129495 | FL | MD | Pediatrics Physician |
| L9529 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| Hospital Physician Services of Florida PA | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Pediatrics | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Blue Job Emergency Physicians LLC | Past | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Pediatrics
-
- Emergency Medicine Physician
- Fort Walton Beach, FL
- NPI 1457760142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1215958756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR UNIT 495",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "214-676-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476708",
"telephone_number": "214-676-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAFAIE",
"first_name": "AIMEE",
"middle_name": "POONEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L9529",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME129495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166331203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.