Individual provider Active NPI

Felix Grudsky

  • Internal Medicine Physician
  • Aventura, FL
National Provider Identifier
1992149355
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS17040 Issued in FL
Practice address
2801 NE 213TH St Ste 101100
Aventura, FL 33180-1263
Phone
(305) 466-7333
Fax
(786) 651-2177
NPI assigned
Apr 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 OS17040 FL Primary

Addresses

Primary practice location

2801 NE 213TH St Ste 101100
Aventura, FL 33180-1263

Mailing address

2801 NE 213TH St Ste 101100
Aventura, FL 33180-1263
Phone (305) 466-7333

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
I20200821002401 FL Practitioner - Internal Medicine 7618285099 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17040FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Medical Aventura, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients

Locations

2801 NE 213th St
Ste 101
Miami, FL 33180
Phone (305) 466-7333

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1992149355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 101100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801263",
            "telephone_number": "305-466-7333",
            "fax_number": "786-651-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NE 213TH ST STE 101100",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801263",
            "telephone_number": "305-466-7333",
            "fax_number": "786-651-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDSKY",
        "first_name": "FELIX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.