NPIMap

Individual provider Active NPI

Vernon Rebello, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1902879950
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME76467 Issued in FL
Practice address
13590 Jog Rd
Suite C3
Delray Beach, FL 33446-3807
Phone
(561) 637-8383
Fax
(561) 423-9253
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME76467 FL Primary

Addresses

Primary practice location

13590 Jog Rd
Suite C3
Delray Beach, FL 33446-3807

Mailing address

13590 S Jog Rd Ste 3C
Delray Beach, FL 33446-3807
Phone (561) 637-8383

Other identifiers 1

IdentifierTypeStateIssuer
005057700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001200 FL Practitioner - Internal Medicine 2860479417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rebello Medical Associates MD PLGroup PAC ID 1759358351, 3 clinicians

Practice addresses (Care Compare)

13590 S Jog Rd
Delray Beach, FL 33446-3807
Phone 5616378383102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rebello Medical Associates MD PL Internal Medicine CurrentSince May 11, 2004 Accepting new patients
Harmony CMHC Inc Past Accepting new patients
Cardiology Associates of North Miami Beach PA Past Accepting new patients

Locations

13590 S Jog Rd
Ste 3C
Delray Beach, FL 33446
Phone (561) 637-8383

Organizations & group practices 4

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 10

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1902879950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 S JOG RD STE 3C",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-637-8383",
            "fax_number": "561-423-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 JOG RD",
            "address_2": "SUITE C3",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463807",
            "telephone_number": "561-637-8383",
            "fax_number": "561-423-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBELLO",
        "first_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME76467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005057700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.