Active NPI
Pardis Vafaii
- Clinical Pathology/Laboratory Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- ME 123388
- Practice address
- 4500 San Pablo Rd,
Jacksonville, FL 32224-0001 - Phone
- (904) 953-2000
- NPI assigned
- Jul 4, 2011
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | ME 123388 | FL | Primary |
Addresses
Primary practice location
4500 San Pablo Rd,
Jacksonville, FL 32224-0001
Mailing address
1006 Milano Cir Apt 105
Brandon, FL 33511-7171
Phone (954) 865-8886
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12485 Sw137Th Ave
Suite 103
Miami, FL 33186-4215
Phone (305) 468-4194
3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 65.4
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 123388 | FL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastro Health, LLC | Current | Accepting new patients | |
| Gastro Health LLC | Current | Accepting new patients | |
| Gastro Health, LLC | Current | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Past | Accepting new patients |
Locations
4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700
12485 SW 137th Ave
Ste 103
Miami, FL 33186
Phone 30546841854314
3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333
7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Miami, FL
- NPI 1487767133
-
- Gastroenterology Physician
- Pembroke Pines, FL
- NPI 1457026932
-
- Gastroenterology Physician
- Orlando, FL
- NPI 1568194306
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1518254150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 MILANO CIR APT 105",
"city": "BRANDON",
"state": "FL",
"postal_code": "335117171",
"telephone_number": "954-865-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 SAN PABLO RD,",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240001",
"telephone_number": "904-953-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAFAII",
"first_name": "PARDIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-04",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "FL",
"license": "ME 123388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.