Individual provider Active NPI

Arelys Del Pino, PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1912778440
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118316 Issued in FL
Practice address
2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3496
Phone
(954) 463-6408
Fax
(954) 463-1858
NPI assigned
Jan 12, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118316 FL Primary

Addresses

Primary practice location

2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3496

Mailing address

2150 S Andrews Ave Ste 100
Fort Lauderdale, FL 33316-3496
Phone (954) 463-6408

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509000027 FL Practitioner - Physician Assistant 8022459098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

2021 E Commercial Blvd
Suite 302
Fort Lauderdale, FL 33308-3754
Phone (954) 491-0030

2150 S Andrews Ave
Suite 100
Fort Lauderdale, FL 33316-3432
Phone (954) 463-6408

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Apr 1, 2024 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Apr 1, 2024 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

2021 E Commercial Blvd
Ste 302
Ft Lauderdale, FL 33308
Phone (954) 491-0030

2150 S Andrews Ave
Ste 100
Ft Lauderdale, FL 33316
Phone (954) 463-6408

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: adelpino3492948@direct.trinity-health.org
  • Direct secure messaging: arelysdelpino@fyc.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1912778440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S ANDREWS AVE STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163496",
            "telephone_number": "954-463-6408",
            "fax_number": "954-463-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S ANDREWS AVE STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333163496",
            "telephone_number": "954-463-6408",
            "fax_number": "954-463-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL PINO",
        "first_name": "ARELYS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.