Individual provider Active NPI

Victor Joseph Genchi, M.D.

  • Internal Medicine Physician
  • Loxahatchee, FL
National Provider Identifier
1497820070
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57874 Issued in FL
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

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
052184100MedicaidFL

Other names 1

  • Dr. Victor J. Genchi Professional name

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
I20050215000571 FL Practitioner - Internal Medicine 9335191626 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME57874FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Primary Care Associates Inc CurrentSince Nov 18, 2012 Accepting new patients
MCR Health, Inc. CurrentSince Aug 1, 2017 Accepting new patients
MCR Health, Inc. CurrentSince Aug 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.