Active NPI
Vince Faridani, M.D.
- Hospitalist Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME135081
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME135081 | FL | |
| Internal Medicine Physician | 207R00000X | 70100 | GA | |
| Hospitalist Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LI837 | Other | FL | MEDICARE - FL |
| 102506400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.29 of 100
- Quality
- 70.79
- Improvement activities
- 40
- Cost
- 81.32
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME135081 | FL | MD | Internal Medicine Physician |
| 70100 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Multi-Specialty | Current | Accepting new patients |
| Apogee Medical Group Georgia | Multi-Specialty | Current | Accepting new patients |
| Nautilus Health Care Group LLC | Multi-Specialty | Current | Accepting new patients |
| Tift Regional Health System Inc | Multi-Specialty | Current | Accepting new patients |
| Nautilus Health Care Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Multi-Specialty | Current | 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
- 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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Multi-Specialty
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Multi-Specialty
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Multi-Specialty
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
Multi-Specialty
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.