Individual provider Active NPI

Vincent Pianelli, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1669498697
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0014100 Issued in FL
Practice address
935 Intracoastal Drive
Fort Lauderdale, FL 33304-3607
Phone
(954) 522-8561
Fax
(954) 522-6602
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 ME 0014100 FL Primary

Addresses

Primary practice location

935 Intracoastal Drive
Fort Lauderdale, FL 33304-3607

Mailing address

PO Box 23158
Fort Lauderdale, FL 33307-3158
Phone (954) 522-8561

Other identifiers 1

IdentifierTypeStateIssuer
048950600MedicaidFL

Other names 1

  • Vicente Pianelli 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
I20070216000155 FL Practitioner - Internal Medicine 4789786088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0014100FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Pianelli, Mdpa Internal Medicine CurrentSince Nov 20, 2007 Accepting new patients
GGB MD PA Internal Medicine CurrentSince Apr 30, 2023 Accepting new patients
North Broward Hospital District Past Accepting new patients
Broward General Ekg Associates, Inc Past Accepting new patients

Locations

1503 SE 4th Ave
Ft Lauderdale, FL 33316
Phone (954) 522-8561

935 Intracoastal Dr
Ft Lauderdale, FL 33304
Phone (954) 522-8561

918 NE 26th Ave
Ft Lauderdale, FL 33304
Phone (954) 522-8561

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1669498697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23158",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333073158",
            "telephone_number": "954-522-8561",
            "fax_number": "954-522-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 INTRACOASTAL DRIVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043607",
            "telephone_number": "954-522-8561",
            "fax_number": "954-522-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIANELLI",
        "first_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0014100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048950600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICENTE",
            "last_name": "PIANELLI",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.