Active NPI
Maria J Bertoli Avella, MD
- Anatomic Pathology & Clinical Pathology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME114727
- Practice address
- 3610 SW 106 Ave
Miami, FL 33165 - Phone
- (786) 395-4635
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME114727 | FL | Primary |
Addresses
Primary practice location
3610 SW 106 Ave
Miami, FL 33165
Mailing address
3610 SW 106TH Ave
Miami, FL 33165-3627
Phone (786) 395-4635
Other names 1
- Maria J Bertoli Avella
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
- Pathology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 227-5579
Hospital & facility affiliations
- HCA Florida Kendall Hospital
- Lower Keys Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raul I Vila MD & Associates PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Integrated Regional Laboratories Pathology Services, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathmed Associates LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
3201 SW 15th St
Deerfield Beach, FL 33442
Phone (954) 246-7625
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
-
- Anatomic Pathology & Clinical Pathology Physician
- Miami, FL
- NPI 1073653291
-
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1083785703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
- General Acute Care Hospital
- Key West, FL
- NPI 1619922077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1487895504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 SW 106TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653627",
"telephone_number": "786-395-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 SW 106 AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33165",
"telephone_number": "786-395-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLI AVELLA",
"first_name": "MARIA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-19",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME114727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "BERTOLI AVELLA",
"middle_name": "J",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.