Andre Alfredo Ampudia, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117771 Issued in FL

Practice address

5333 N Dixie Hwy Ste 110
Oakland Park, FL 33334-3453

Phone

(352) 796-7171

Fax

(352) 556-4889

NPI assigned

Aug 28, 2023

Last updated

Oct 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrepa@li-fl.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1942557848
  Medicare reassignment
• Lifeway Inc

  • Internal Medicine Physician
  • Oakland Park, FL
  • NPI 1568477156
  NPD
• Absolute Healthcare LLC

  • Primary Care Clinic/Center
  • Honolulu, HI
  • NPI 1073190252
  NPD
• Yvonne R S Sherrer MD PA

  dba Cria

  • Rheumatology Physician
  • Oakland Park, FL
  • NPI 1912056110
  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1841075843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY STE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343453",
            "telephone_number": "954-772-8554",
            "fax_number": "954-772-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY STE 110",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343453",
            "telephone_number": "352-796-7171",
            "fax_number": "352-556-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPUDIA",
        "first_name": "ANDRE",
        "middle_name": "ALFREDO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American #1 Supplier
• American Care of South Florida, Inc.
• Amin Pain Relief Inc (American Pain Experts)
• Amisub Northridge Hospital ,Inc. (North Ridge Medical Center)
• Amisub Northridge Hospital ,Inc. (North Ridge Medical Center)
• Melissa Susan Anderson, PHARM.D.
• Andrews Dental Care Center, P.a.
• Nicole Andrews, RD, LD/N
• Tim Earle Andrews, LICENSED INTERN MSW
• Apex Medical Supply LLC

• Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.