Active NPI
Vitra Gosine, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME99887
- Practice address
- 17901 NW 5TH Street
Suite #103
Pembroke Pines, FL 33029 - Phone
- (954) 538-0022
- Fax
- (954) 538-0028
- NPI assigned
- Aug 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME99887 | FL | Primary |
Addresses
Primary practice location
17901 NW 5TH Street
Suite #103
Pembroke Pines, FL 33029
Mailing address
17901 NW 5TH Street
Suite #103
Pembroke Pines, FL 33029
Phone (954) 538-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AK820Y | Other | FL | MEDICARE PTAN |
Other names 1
- Dr. Vitra Gosine
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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of South Florida College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17900 NW 5TH St
Suite 202
Pembroke Pines, FL 33029-2809
Hospital & facility affiliations
- Memorial Hospital Pembroke
- Memorial Hospital Miramar
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME99887 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Integrative & Functional Endocrinology LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
17900 NW 5th St
Ste 202
Pembroke Pines, FL 33029
Phone (954) 800-1408
Interoperability endpoints
- vgosine12887@mhsdirect.net
- https://fhir4.healow.com/fhir/r4/HIBJBD/Endpoint/HIBJBD
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Pembroke Pines, FL
- NPI 1598300741
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
- General Acute Care Hospital
- Miramar, FL
- NPI 1326021197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1376736181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17901 NW 5TH STREET",
"address_2": "SUITE #103",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-538-0022",
"fax_number": "954-538-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17901 NW 5TH STREET",
"address_2": "SUITE #103",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33029",
"telephone_number": "954-538-0022",
"fax_number": "954-538-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSINE",
"first_name": "VITRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-24",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME99887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AK820Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VITRA",
"last_name": "GOSINE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.