Active NPI
Vincent Pianelli, MD
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1669498697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 0014100
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048950600 | Medicaid | FL |
Other names 1
- Vicente Pianelli
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0014100 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincent Pianelli, Mdpa | Internal Medicine | Current | Accepting new patients |
| GGB MD PA | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1194979963
-
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1679813844
-
- Cardiovascular Disease Physician
- Ft Lauderdale, FL
- NPI 1124063326
-
- Pediatric Hematology & Oncology Physician
- Fort Lauderdale, FL
- NPI 1881622850
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.