Individual provider Active NPI

Freddy Avni, M.D.

  • Internal Medicine Physician
  • Wellington, FL
National Provider Identifier
1972706729
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME00068307 Issued in FL
Practice address
1395 S State Road 7 Ste 420
Wellington, FL 33414-9327
Phone
(561) 204-4687
Fax
(561) 204-4694
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME00068307 FL Primary
Rheumatology Physician 207RR0500X ME68307 FL

Addresses

Primary practice location

1395 S State Road 7 Ste 420
Wellington, FL 33414-9327

Mailing address

1395 S State Road 7 Ste 420
Wellington, FL 33414-9327
Phone (561) 204-4687

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
I20101129000534 FL Practitioner - Internal Medicine 8921292095 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians
Medflorida Specialists, LLCGroup PAC ID 0941572564, 2 clinicians

Practice addresses (Care Compare)

1395 S State Rd
7 Suite 420
Wellington, FL 33414-9327
Phone (381) 204-4687

1395 S State Rd 7
420 Medical Consultants of Palm Beach L
Wellington, FL 33414-9327
Phone (561) 204-4687

3889 Military TRL
Suite 101
Jupiter, FL 33458-2923
Phone (561) 932-0995

672 SW Prima Vista Blvd
101 Medical Consultants of Palm Beach L
Port St Lucie, FL 34983-1820
Phone (772) 905-2555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME00068307FLMDInternal Medicine Physician
ME68307FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care, LLC. Current Accepting new patients
Medflorida Specialists, LLC Internal Medicine CurrentSince Nov 28, 2016 Accepting new patients
Freddy Avni MD PA Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients
Medical Consultants of Florida, LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Medflorida Hospitalists LLC Internal Medicine CurrentSince Nov 28, 2016 Accepting new patients

Locations

1485 Gateway Blvd
Ste 102
Boynton Beach, FL 33426
Phone (561) 572-3227

3889 Military Trl
Ste 101
Jupiter, FL 33458
Phone (561) 412-9373

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

1395 S State Road 7
Ste 420
Wellington, FL 33414
Phone (561) 204-4687

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1972706729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 420",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149327",
            "telephone_number": "561-204-4687",
            "fax_number": "561-204-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7 STE 420",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149327",
            "telephone_number": "561-204-4687",
            "fax_number": "561-204-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVNI",
        "first_name": "FREDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME00068307",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME68307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.