Individual provider Active NPI

Edwin Risi, MD

  • Anesthesiology Physician
  • Hollywood, FL
National Provider Identifier
1457463937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME84009 Issued in FL
Practice address
3600 Washington St
Hollywood, FL 33021-8216
Phone
(954) 986-6173
Fax
(954) 985-6324
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME84009 FL Primary

Addresses

Primary practice location

3600 Washington St
Hollywood, FL 33021-8216

Mailing address

PO Box 550979
Tampa, FL 33655-0979
Phone (800) 910-9207

Other identifiers 1

IdentifierTypeStateIssuer
ME84009OtherFLMD

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
I20040108000065 FL Practitioner - Anesthesiology 2860391885 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Oct 3, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Oct 3, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Northwest Anesthesiologist Group PA PastSince Aug 1, 2007 Accepting new patients
North West Anesthesiologist Group Anesthesiology Past Accepting new patients
Millennium Anesthesia PA Anesthesiology Past Accepting new patients

Locations

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

2229 N Commerce Pkwy
Weston, FL 33326
Phone (954) 389-2446

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457463937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550979",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550979",
            "telephone_number": "800-910-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218216",
            "telephone_number": "954-986-6173",
            "fax_number": "954-985-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISI",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME84009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "ME84009",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.