Individual provider Active NPI

Petros T Georgiou, MD

  • Internal Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1699417626
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME172421 Issued in FL
Practice address
710 Alton Rd
Miami Beach, FL 33139-5504
Phone
(305) 538-8835
Fax
(305) 994-0054
NPI assigned
Apr 11, 2022
Reactivated
Jan 31, 2023
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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 ME172421 FL Primary

Addresses

Primary practice location

710 Alton Rd
Miami Beach, FL 33139-5504

Mailing address

11645 Biscayne Blvd Ste 207
Miami, FL 33181-3138
Phone (305) 538-8835

Other practice location 1

11645 Biscayne Blvd Ste 100
Miami, FL 33181-3155
Phone (305) 538-8835

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
I20250910001284 FL Practitioner - Internal Medicine 4385089556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Sep 2, 2025 Accepting new patients
Miami Beach Community Health Center Inc Current Accepting new patients
Miami Beach Community Health Center, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Miami Beach Community Health Center Inc Past Accepting new patients

Locations

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

11645 Biscayne Blvd
Ste 301
North Miami, FL 33181
Phone (869) 202-0217

11645 Biscayne Blvd
Ste 308
North Miami, FL 33181
Phone (305) 895-0010

11645 Biscayne Blvd
Ste 309
North Miami, FL 33181
Phone (867) 920-2021

11645 Biscayne Blvd
Ste 405
North Miami, FL 33181

11645 Biscayne Blvd
Ste 408
North Miami, FL 33181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1699417626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813138",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395504",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11645 Biscayne Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331813155",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGIOU",
        "first_name": "PETROS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "deactivation_date": "2023-01-03",
        "reactivation_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME172421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.