Individual provider Active NPI

Auxi Peachey, MD

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1356439509
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 96623 Issued in FL
Practice address
11924 Balm Riverview Rd
Riverview, FL 33569-6601
Phone
(813) 672-3200
Fax
(813) 672-3202
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 ME 96623 FL Primary

Addresses

Primary practice location

11924 Balm Riverview Rd
Riverview, FL 33569-6601

Mailing address

11870 Downy Birch Dr
Riverview, FL 33569-5515
Phone (305) 934-1834

Other identifiers 1

IdentifierTypeStateIssuer
ME 96623OtherFLMEDICAL LICENSE

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
I20070319000458 FL Practitioner - Internal Medicine 7911000625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verimed Health Group Riverview LLCGroup PAC ID 4981820768, 2 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

11924 Balm Riverview Rd
Riverview, FL 33569-6601
Phone (813) 672-3200

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96623FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Verimed Health Group, Riverview LLC CurrentSince Jan 15, 2022 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Verimed Health Group Carrollwood, LLC Internal Medicine CurrentSince Oct 18, 2021 Accepting new patients
Primecare Medical Group LLC Internal Medicine CurrentSince Oct 18, 2021 Accepting new patients

Locations

2638 Narnia Way
Unit 101
Land O Lakes, FL 34638
Phone (813) 528-8000

2674 Stonewood Park Loop
Land O Lakes, FL 34638
Phone (813) 909-0760

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

11924 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 672-3200

8521 N Armenia Ave
Tampa, FL 33604
Phone (813) 932-0996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1356439509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 DOWNY BIRCH DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695515",
            "telephone_number": "305-934-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-672-3200",
            "fax_number": "813-672-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "AUXI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 96623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 96623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.