Active NPI
Alfredo Nova, M.D.
- Obstetrics & Gynecology Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0084728
- Practice address
- 1634 N Plaza Dr
Tallahassee, FL 32308-5323 - Phone
- (850) 942-7750
- Fax
- (850) 942-7414
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0084728 | FL | Primary |
| Gynecology Physician | 207VG0400X | ME0084728 | FL | |
| Obstetrics Physician | 207VX0000X | ME0084728 | FL |
Addresses
Primary practice location
1634 N Plaza Dr
Tallahassee, FL 32308-5323
Mailing address
1634 N Plaza Dr
Tallahassee, FL 32308-5323
Phone (850) 942-7750
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7811 | Other | FL | BLUE CROSS PROVIDER NO |
| E8554Y | Other | FL | MEDICARE PTAN |
| 200339927 | Other | FL | COMMERCIAL BILLING |
| 264768100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1634 N Plaza Dr
Tallahassee, FL 32308-5323
Phone (850) 942-7750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0084728 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Single Specialty | Current | Accepting new patients |
| OB Hospitalist Group LLC | Single Specialty | Current | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Interoperability endpoints
- anova21375@tallahasseememorial.direct-ci.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.
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
Single Specialty
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
Single Specialty
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790894871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1634 N PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085323",
"telephone_number": "850-942-7750",
"fax_number": "850-942-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 N PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085323",
"telephone_number": "850-942-7750",
"fax_number": "850-942-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVA",
"first_name": "ALFREDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0084728",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME0084728",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "FL",
"license": "ME0084728",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "7811",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "E8554Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL BILLING",
"identifier": "200339927",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264768100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.