Active NPI
Denis A Vilchez, M.D.
- General Practice Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN375
- Practice address
- 451 SW Bethany Dr Ste 103
Port Saint Lucie, FL 34986-1964 - Phone
- (772) 348-0828
- NPI assigned
- Nov 14, 2006
- Last updated
- May 29, 2024
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN375 | FL | Primary |
Addresses
Primary practice location
451 SW Bethany Dr Ste 103
Port Saint Lucie, FL 34986-1964
Mailing address
451 SW Bethany Dr Ste 103
Port Saint Lucie, FL 34986-1964
Phone (772) 348-0828
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
- General Practice
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
451 SW Bethany Dr
Suite 103
Port Saint Lucie, FL 34986-1964
Phone (772) 348-0828
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Medical Management of Florida LLC | Current | Accepting new patients | |
| Coast Family Care Group LLC | General Practice | Current | Accepting new patients |
Locations
4100 S Ferdon Blvd
Ste A4
Crestview, FL 32536
Phone (832) 867-8019
451 SW Bethany Dr
Ste 103
Port St Lucie, FL 34986
Phone (772) 249-0260
Organizations & group practices 2
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.
-
dba Sunshine Primary Care
- General Practice Physician
- Port Saint Lucie, FL
- NPI 1396010120
-
- Primary Care Clinic/Center
- Port Saint Lucie, FL
- NPI 1164234431
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1548332943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 SW BETHANY DR STE 103",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861964",
"telephone_number": "772-348-0828",
"fax_number": "772-348-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 SW BETHANY DR STE 103",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349861964",
"telephone_number": "772-348-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILCHEZ",
"first_name": "DENIS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.