Individual provider Active NPI

Sofia Abigail Funes, D.O.

  • Sports Medicine (Preventive Medicine) Physician
  • Lauderhill, FL
National Provider Identifier
1801257183
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
OS15427 Issued in FL
Practice address
5961 N Falls Circle Dr Apt 401
Lauderhill, FL 33319-6818
Phone
(352) 615-2950
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X OS15427 FL
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS15427 FL
Public Health & General Preventive Medicine Physician 2083P0901X OS15427 FL
Student in an Organized Health Care Education/Training Program 390200000X
Public Health & General Preventive Medicine Physician 2083P0901X 15427 FL
Sports Medicine (Preventive Medicine) Physician 2083S0010X OS15427 FL Primary

Addresses

Primary practice location

5961 N Falls Circle Dr Apt 401
Lauderhill, FL 33319-6818

Mailing address

5961 N Falls Circle Dr Apt 401
Lauderhill, FL 33319-6818
Phone (352) 615-2950

Other practice location 1

8 Hemlock Circle Ct
Ocala, FL 34472-9092
Phone (352) 615-2950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201022001184 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Sports MedicinePractitioner - Preventive Medicine 5395165880 Practice locations: Lauderhill, FL
I20240903000465 FL Practitioner - Preventive MedicinePractitioner - Sports Medicine 5395165880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Sports Medicine
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

3200 S University Dr
Daive, FL 33328-2018
Phone (954) 262-9417

650 N Andrews Ave
Eye Institute
Ft Lauderdale, FL 33311-7436
Phone (954) 262-4343

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15427FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nsu-College of Osteopathic Medical Center at Covenant Village CurrentSince Aug 1, 2024 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Sofia a. Funes, DO, LLC Neuromusculoskeletal Medicine, Sports Medicine CurrentSince Feb 8, 2023 Accepting new patients
Nova Southeastern University Inc. CurrentSince Aug 1, 2024 Accepting new patients
Nova Southeastern University, Inc Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

3301 College Ave
Rm 1433
Davie, FL 33314
Phone (954) 262-5590

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1801257183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 N FALLS CIRCLE DR APT 401",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333196818",
            "telephone_number": "352-615-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 N FALLS CIRCLE DR APT 401",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333196818",
            "telephone_number": "352-615-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Hemlock Circle Ct",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344729092",
            "country_code": "US",
            "telephone_number": "352-615-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNES",
        "first_name": "SOFIA",
        "middle_name": "ABIGAIL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS15427",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS15427",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "OS15427",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "15427",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "FL",
            "license": "OS15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.