Individual provider Active NPI

Joelle Estrada, MD

  • Internal Medicine Physician
  • Weston, FL
National Provider Identifier
1720480981
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME141089 Issued in FL
Practice address
1604 Town Center Blvd Ste 4B
Weston, FL 33326-3640
Phone
(954) 384-1800
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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 ME141089 FL Primary

Addresses

Primary practice location

1604 Town Center Blvd Ste 4B
Weston, FL 33326-3640

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

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
I20190926003001 FL Practitioner - Internal Medicine 2466782818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

1604 Town Ctr Cir
Suite 4C
Weston, FL 33326-3640
Phone (954) 384-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141089FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Dec 16, 2022 Accepting new patients
Joshua Medical Center LLC Internal Medicine Current Accepting new patients
Associatesmd Medical Group Inc CurrentSince Dec 16, 2022 Accepting new patients
Mel-Bay Health Care Inc Internal Medicine PastSince Aug 1, 2021 Accepting new patients

Locations

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4780 SW 64th Ave
Davie, FL 33314

1604 Town Center Blvd
Ste 4B
Weston, FL 33326
Phone (954) 384-1800

1865 N Corporate Lakes Blvd
Ste 2A
Weston, FL 33326
Phone (954) 349-4391

1604 Town Center Blvd
Ste B
Weston, FL 33326
Phone (954) 349-3030

1604 Town Center Blvd
Ste 4C
Weston, FL 33326
Phone (954) 384-1800

Interoperability endpoints

  • Direct secure messaging: joelle.estrada@amd.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA

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.

Hospital & facility affiliations 1

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1720480981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER BLVD STE 4B",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-384-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "JOELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME141089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.