Individual provider Active NPI

Joseph Deverell Bianchi, M.D.

  • Surgery Physician
  • Daytona Beach, FL
National Provider Identifier
1760487383
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME75089 Issued in FL
Practice address
1890 Lpga Blvd
Ste 250
Daytona Beach, FL 32117-7130
Phone
(386) 274-0250
Fax
(386) 274-0269
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME75089 FL Primary

Addresses

Primary practice location

1890 Lpga Blvd
Ste 250
Daytona Beach, FL 32117-7130

Mailing address

11945 San Jose Blvd
BLDG 300
Jacksonville, FL 32223-1613
Phone (386) 274-0250

Other identifiers 1

IdentifierTypeStateIssuer
006181OtherFLFHCP

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
I20041110001052 FL Practitioner - General Surgery 7214990126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

1890 Lpga Blvd
Suite 250
Daytona Beach, FL 32117-7131
Phone (386) 274-0250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as individual
Quality
81.01
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)17
Hernia repair (minimally invasive)1-10
Mastectomy13
Upper gastrointestinal (GI) endoscopy for acid reflux17
Melanoma (skin cancer) excision38
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75089FLMDSurgery Physician
ME0071201FLMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA Surgery CurrentSince Aug 1, 2012 Accepting new patients
Halifax Healthcare Systems Inc Surgery CurrentSince Jun 1, 2007 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2012 Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 550
Daytona Beach, FL 32114
Phone (386) 258-5470

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

103 Memorial Medical Pkwy
Ste 125
Daytona Beach, FL 32117
Phone (386) 274-0250

1890 Lpga Blvd
Ste 250
Daytona Beach, FL 32117
Phone (386) 274-0250

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

Use Ci1660
Orlando, FL 32886

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: joseph.bianchi.1@9109.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1760487383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD",
            "address_2": "BLDG 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231613",
            "telephone_number": "386-274-0250",
            "fax_number": "386-274-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 LPGA BLVD",
            "address_2": "STE 250",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177130",
            "telephone_number": "386-274-0250",
            "fax_number": "386-274-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "JOSEPH",
        "middle_name": "DEVERELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME75089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FHCP",
            "identifier": "006181",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.