Individual provider Active NPI

Dina Rachel Edrich, M.D.

  • Family Medicine Physician
  • Aventura, FL
National Provider Identifier
1891074746
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME120516 Issued in FL
Practice address
20950 NE 27TH CT Ste 200
Aventura, FL 33180-1232
Phone
(305) 466-0663
NPI assigned
Aug 10, 2011
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME120516 FL Primary

Addresses

Primary practice location

20950 NE 27TH CT Ste 200
Aventura, FL 33180-1232

Mailing address

20950 NE 27TH CT Ste 200
Aventura, FL 33180-1232
Phone (305) 466-0663

Other practice location 1

3700 Washington St Ste 200
Hollywood, FL 33021-8249
Phone (954) 894-3003

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
I20150127001278 FL Practitioner - Family Practice 5597089375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth and Howard Braver MD PAGroup PAC ID 0648336206, 4 clinicians

Practice addresses (Care Compare)

20950 NE 27TH CT
Suite 200
Aventura, FL 33180-1232
Phone (305) 466-0663

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120516FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth and Howard Braver MD PA CurrentSince Mar 23, 2022 Accepting new patients

Locations

21097 NE 27th Ct
Ste 490
Aventura, FL 33180
Phone (305) 466-0663

3700 Washington St
Ste 200
Hollywood, FL 33021
Phone (954) 894-3003

20950 NE 27th Ct
Ste 200
Miami, FL 33180
Phone (305) 466-0663

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1891074746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT STE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-466-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT STE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-466-0663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218249",
            "country_code": "US",
            "telephone_number": "954-894-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDRICH",
        "first_name": "DINA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2022-09-19",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME120516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.