Individual provider Active NPI

Brian J Deonarine, MD

  • Cardiovascular Disease Physician
  • Vero Beach, FL
National Provider Identifier
1790752699
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0072762 Issued in FL
Practice address
1285 36TH Street
Suite 200
Vero Beach, FL 32960-6588
Phone
(772) 562-9923
Fax
(877) 635-0804
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0072762 FL Primary

Addresses

Primary practice location

1285 36TH Street
Suite 200
Vero Beach, FL 32960-6588

Mailing address

1285 36TH Street
Suite 200
Vero Beach, FL 32960-6588
Phone (772) 562-9923

Other identifiers 3

IdentifierTypeStateIssuer
10731790OtherFLCAQH
060055374OtherRAILROAD MEDICARE
38042OtherBLUE CROSS BLUE SHIELD

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
I20040403000048 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991798324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian J.Deonarine, MD PAGroup PAC ID 3678725397, 2 clinicians

Practice addresses (Care Compare)

1285 36TH St
Suite 200
Vero Beach, FL 32960-6588

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072762FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J.Deonarine, MD PA Cardiovascular Disease CurrentSince Apr 10, 1999 Accepting new patients
Heart Center of the Treasure Coast Cardiovascular Disease Past Accepting new patients

Locations

1285 36th St
Ste 200
Vero Beach, FL 32960
Phone (772) 562-8465

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHFAD

Organizations & group practices 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1790752699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH STREET",
            "address_2": "SUITE 200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-562-9923",
            "fax_number": "877-635-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH STREET",
            "address_2": "SUITE 200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-562-9923",
            "fax_number": "877-635-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEONARINE",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0072762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10731790",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060055374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38042",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.