Individual provider Active NPI

Gustavo Arturo Avila Amat, MD

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1437655131
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME149881 Issued in FL
Practice address
180 JFK Dr Ste 210
Lake Worth, FL 33462-6641
Phone
(561) 548-1450
Fax
(561) 548-1459
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME149881 FL
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME149881 FL Primary

Addresses

Primary practice location

180 JFK Dr Ste 210
Lake Worth, FL 33462-6641

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (877) 832-2652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210616000392 FL Practitioner - Internal MedicinePractitioner - Hospitalist 8628305182 Reassigns benefits to 4 organizations
I20231005002802 MO Practitioner - Internal Medicine 8628305182 Reassigns benefits to 2 organizations
I20241104003444 AL Practitioner - Internal Medicine 8628305182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services of Missouri LLCGroup PAC ID 6002214343, 10 clinicians

Practice addresses (Care Compare)

1630 E Primrose St
Springfield, MO 65804-7929
Phone (717) 972-1100

604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 362-8111

Hospital & facility affiliations

  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
  • Select Specialty Hospital Springfield, Inc Inpatient rehabilitation facility, Springfield, MO, CCN 26TA17
  • Select Specialty Hospital Springfield, Inc Long-term care hospital, Springfield, MO, CCN 262017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HHA Associates LLC Hospitalist CurrentSince Sep 1, 2021 Accepting new patients
University of Miami Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Boone Physician Services, LLC CurrentSince Oct 17, 2023 Accepting new patients
Hni Medical Services of Florida, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Hni Hospital Services of Florida, LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
University of Miami Current Accepting new patients
Hni Medical Services of Missouri, LLC Internal Medicine CurrentSince Oct 21, 2023 Accepting new patients
University of Miami Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
BBH WBMC, LLC Past Accepting new patients
Select Specialty Hospital Springfield Inc Past Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

4901 Richard St
Jacksonville, FL 32207
Phone (904) 425-0500

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700

Interoperability endpoints

  • Direct secure messaging: gustavo.avilaamat@hca4.eclinicaldirectplus.com

Organizations & group practices 11

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 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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1437655131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "877-832-2652",
            "fax_number": "800-792-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 210",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-1450",
            "fax_number": "561-548-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA AMAT",
        "first_name": "GUSTAVO",
        "middle_name": "ARTURO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME149881",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.