Organization Active NPI

Vero Renal Associates P a

  • Nephrology Physician
  • Vero Beach, FL
National Provider Identifier
1285848598
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME74680 Issued in FL
Legal business name
VERO RENAL ASSOCIATES P A
Practice address
777 37TH St
Suite C-107
Vero Beach, FL 32960-4873
Phone
(772) 562-3234
Fax
(772) 562-3236
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Richard J Handler, M.D.
Title
President
Phone
(772) 562-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME74680 FL Primary

Addresses

Primary practice location

777 37TH St
Suite C-107
Vero Beach, FL 32960-4873

Mailing address

777 37TH St
Suite C-107
Vero Beach, FL 32960-4873
Phone (772) 562-3234

Other identifiers 1

IdentifierTypeStateIssuer
58979OtherFLBCBS FLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000389 FL Part B Supplier - Clinic/Group Practice 0042272676 Receives reassigned benefits from 2 practitioners
Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1285848598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "SUITE C-107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-562-3234",
            "fax_number": "772-562-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST",
            "address_2": "SUITE C-107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604873",
            "telephone_number": "772-562-3234",
            "fax_number": "772-562-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO RENAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "HANDLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-562-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME74680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLA",
            "identifier": "58979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.