Individual provider Active NPI

Beverly Encarnacion, MD

  • Internal Medicine Physician
  • Dunedin, FL
National Provider Identifier
1659331270
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME007280 Issued in FL
Practice address
2128 Main St
Dunedin, FL 34698-5604
Phone
(727) 736-7733
Fax
(727) 736-7740
NPI assigned
Mar 27, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME007280 FL Primary

Addresses

Primary practice location

2128 Main St
Dunedin, FL 34698-5604

Mailing address

2128 Main St
Dunedin, FL 34698-5604
Phone (727) 736-7733

Other identifiers 3

IdentifierTypeStateIssuer
254970100MedicaidFL
P00061262OtherFLRAILROAD MEDICARE
43411OtherFLBLUE CROSS BLUE SHIELD

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
I20050524001244 FL Practitioner - Internal Medicine 9830131473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

2128 Main St
Dunedin, FL 34698-5604
Phone (727) 736-7733

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME007280FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Best Value Healthcare LLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Florida Medical Specialists LLC CurrentSince Aug 1, 2021 Accepting new patients
American Family & Geriatric Care PA Past Accepting new patients
Our Family Doctors P L L C PastSince Nov 1, 2001 Accepting new patients
Elias Kanaan MD PA Internal Medicine PastSince Aug 20, 2001 Accepting new patients
Best Value Healthcare LLC Internal Medicine PastSince Jun 22, 2021 Accepting new patients

Locations

2128 Main St
Dunedin, FL 34698
Phone (727) 736-7733

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

6101 Webb Rd
Ste 104
Tampa, FL 33615
Phone (813) 290-0422

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659331270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985604",
            "telephone_number": "727-736-7733",
            "fax_number": "727-736-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985604",
            "telephone_number": "727-736-7733",
            "fax_number": "727-736-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "BEVERLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME007280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254970100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061262",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43411",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.