Individual provider Active NPI

Vince Faridani, M.D.

  • Hospitalist Physician
  • Pembroke Pines, FL
National Provider Identifier
1962645671
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME135081 Issued in FL
Practice address
1620 NW 122ND Ave
Pembroke Pines, FL 33026-2538
Phone
(954) 895-5729
NPI assigned
Apr 10, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME135081 FL
Internal Medicine Physician 207R00000X 70100 GA
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X ME135081 FL Primary

Addresses

Primary practice location

1620 NW 122ND Ave
Pembroke Pines, FL 33026-2538

Mailing address

1620 NW 122ND Ave
Pembroke Pines, FL 33026-2538
Phone (954) 895-5729

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771

Other identifiers 2

IdentifierTypeStateIssuer
LI837OtherFLMEDICARE - FL
102506400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20131030001337 GA Practitioner - Internal Medicine 3577798438 Reassigns benefits to 2 organizations
I20190725002488 FL Practitioner - HospitalistPractitioner - Internal Medicine 3577798438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tift Regional Health System IncGroup PAC ID 2062745169, 294 clinicians

Practice addresses (Care Compare)

2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100

2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188

260 MJ Taylor Rd
Adel, GA 31620-3485
Phone (229) 896-8159

901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120

Hospital & facility affiliations

  • Tift Regional Medical Center Hospital, Tifton, GA, CCN 110095

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
Quality
57.87
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
70.79
Improvement activities
40
Cost
81.32

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135081FLMDInternal Medicine Physician
70100GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Florida Hospital Healthcare Partners, Inc Multi-Specialty CurrentSince May 7, 2023 Accepting new patients
Apogee Medical Group Georgia Multi-Specialty CurrentSince Feb 20, 2018 Accepting new patients
Nautilus Health Care Group LLC Multi-Specialty CurrentSince Dec 23, 2023 Accepting new patients
Tift Regional Health System Inc Multi-Specialty CurrentSince Feb 1, 2016 Accepting new patients
Nautilus Health Care Group, LLC Multi-Specialty CurrentSince Dec 23, 2023 Accepting new patients
Tift Regional Health System Inc. CurrentSince Feb 1, 2016 Accepting new patients
Orlando Health Medical Group Inc Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
Tift Regional Health System Inc Multi-Specialty Current Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

2040 Oakley Seaver Dr
Ste 200
Clermont, FL 34711
Phone (352) 536-8788

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: vfaridani1654228@adventhealth.direct-ci.com

Organizations & group practices 10

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 1

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1962645671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NW 122ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262538",
            "telephone_number": "954-895-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NW 122ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262538",
            "telephone_number": "954-895-5729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIDANI",
        "first_name": "VINCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135081",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "70100",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME135081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - FL",
            "identifier": "LI837",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102506400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.