Active NPI
Victor Joseph Genchi, M.D.
- Internal Medicine Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME57874
- Practice address
- 2619 Palm Deer Dr
Loxahatchee, FL 33470-2563 - Phone
- (561) 246-2111
- Fax
- (561) 798-1956
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME57874 | FL | Primary |
Addresses
Primary practice location
2619 Palm Deer Dr
Loxahatchee, FL 33470-2563
Mailing address
2619 Palm Deer Dr
Loxahatchee, FL 33470-2563
Phone (561) 246-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052184100 | Medicaid | FL |
Other names 1
- Dr. Victor J. Genchi
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME57874 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Primary Care Associates Inc | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients |
Locations
1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
3347 S State Road 7
Ste 200
Wellington, FL 33449
Phone (561) 795-9087
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- genchi.victor.1@25802.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Specialist
- Wellington, FL
- NPI 1427270982
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Gynecologic Oncology Physician
- Fort Myers, FL
- NPI 1316981194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1497820070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 PALM DEER DR",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702563",
"telephone_number": "561-246-2111",
"fax_number": "561-798-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 PALM DEER DR",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334702563",
"telephone_number": "561-246-2111",
"fax_number": "561-798-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENCHI",
"first_name": "VICTOR",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME57874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "052184100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICTOR",
"last_name": "GENCHI",
"middle_name": "J.",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.