Individual provider Active NPI

Regina Gurevich, MD

  • Physical Medicine & Rehabilitation Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1689769192
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME117241 Issued in FL
Practice address
17749 Collins Ave
Sunny Isles Beach, FL 33160-4693
Phone
(917) 291-0830
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 203762 NY
Physical Medicine & Rehabilitation Physician 208100000X ME117241 FL Primary

Addresses

Primary practice location

17749 Collins Ave
Sunny Isles Beach, FL 33160-4693

Mailing address

174 Grand Street
White Plains, NY 10601
Phone (914) 328-8077

Other practice location 1

907 East Tremont Avenue
Bronx, NY 10460
Phone (718) 589-9588

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
I20141006002069 FL Practitioner - Physical Medicine and Rehabilitation 1850480781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants Florida PLLCGroup PAC ID 4486997426, 41 clinicians

Practice addresses (Care Compare)

4300 Rock Island Rd
Lauderhill, FL 33319-4528
Phone (954) 485-6144

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
70.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117241FLMDPhysical Medicine & Rehabilitation Physician
203762NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants Florida, PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2019 Accepting new patients
Neurological Testing Centers of America Inc. Physical Medicine & Rehabilitation CurrentSince Mar 14, 2016 Accepting new patients
R.G. Medical, PC Physical Medicine & Rehabilitation PastSince Oct 1, 2007 Accepting new patients
Your Choice Medical PC PastSince Mar 12, 2010 Accepting new patients

Locations

10000 Stirling Rd
Ste 1
Hollywood, FL 33024
Phone (954) 748-7474

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

4300 Rock Island Rd
Lauderhill, FL 33319
Phone (954) 309-1126

1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

7045 Evergreen Woods Trl
Spring Hill, FL 34608
Phone (352) 596-8371

6700 W Commercial Blvd
Tamarac, FL 33319
Phone (888) 253-3636

1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1689769192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND STREET",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17749 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604693",
            "telephone_number": "917-291-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 EAST TREMONT AVENUE",
            "address_purpose": "LOCATION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "country_code": "US",
            "telephone_number": "718-589-9588",
            "fax_number": "718-589-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUREVICH",
        "first_name": "REGINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "203762",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME117241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

Verify at the official NPI Registry.