AVENUES CANCER CARE INSTITUTE, LLC
NPI 1023308806
Physical Medicine & Rehabilitation in Jacksonville, FL

Active since April 13, 2011
6144 GAZEBO PARK PL S, SUITE 211, JACKSONVILLE, FL 32257(904) 651-9895 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avenues Cancer Care Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUES CANCER CARE INSTITUTE, LLC (NPI 1023308806) is a healthcare organization registered as a physical medicine & rehabilitation in Jacksonville, Florida and active in the NPI registry since April 2011. The organization lists Carlos A. Oteyza, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1023308806
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameAVENUES CANCER CARE INSTITUTE, LLC
Location Address6144 GAZEBO PARK PL S, SUITE 211Jacksonville, FL 32257-1099
Mailing AddressPo Box 57946Jacksonville, FL 32241-7946
Organization SubpartNo
Authorized OfficialCarlos A. OteyzaMedical Director · (904) 551-3122
Enumeration DateApril 13, 2011
Last NPPES UpdateMarch 26, 2012
✔ NPI 1023308806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in FL · ME0043663
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6144 GAZEBO PARK PL S, Jacksonville, FL 32257

Other Identifiers 2

Medicare PIN15829
Medicare UPIND61284

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avenues Cancer Care Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110623000147Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Avenues Cancer Care Institute, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1063545341
6144 GAZEBO PARK PL S STE 211
Jacksonville, FL 32257
(904) 551-3122
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avenues Cancer Care Institute, LLC's NPI number?

The NPI number for Avenues Cancer Care Institute, LLC is 1023308806. It was assigned to this organization in the NPPES registry on April 13, 2011.

Where is Avenues Cancer Care Institute, LLC located?

Avenues Cancer Care Institute, LLC is located at 6144 Gazebo Park Pl S Suite 211, Jacksonville, FL 32257. The listed phone number is (904) 651-9895.

What is Avenues Cancer Care Institute, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Avenues Cancer Care Institute, LLC enrolled in Medicare?

Yes. Avenues Cancer Care Institute, LLC is registered in the Medicare PECOS enrollment system.

When is Avenues Cancer Care Institute, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Avenues Cancer Care Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Avenues Cancer Care Institute, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avenues Cancer Care Institute, LLC was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.