ANITA PETTEWAY MD
NPI 1407045644
Internal Medicine in North Miami Beach, FL

Q: What is Anita Petteway's NPI number?

The NPI number for Anita Petteway is 1407045644. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Q: What is Anita Petteway's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Anita Petteway was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 23, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0992417 · Waiver

150 NW 168TH ST STE 301, NORTH MIAMI BEACH, FL 33169(305) 944-8887(877) 488-9590 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Anita Petteway Md NPPES

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

ANITA PETTEWAY MD (NPI 1407045644) is an individual internal medicine provider in North Miami Beach, Florida, licensed in Florida (ME69729) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 15, 2027, and is affiliated with Mount Sinai Medical Center Of Florida, Inc.

NPPES Registry Identity

NPI1407045644

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameANITA PETTEWAYCredential: MD

Location Address150 NW 168TH ST STE 301North Miami Beach, FL 33169-6051

Mailing Address150 Nw 168th St Ste 301North Miami Beach, FL 33169-6051 · (305) 944-8887 · Fax (877) 488-9590

Phone(305) 944-8887

Fax(877) 488-9590

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1993

Enumeration DateOctober 23, 2007

Last NPPES UpdateJuly 22, 2024

NPPES CertifiedJuly 22, 2024

✔ NPI 1407045644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME69729

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

150 NW 168TH ST STE 301, North Miami Beach, FL 33169

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Other Identifiers 6

Other31947FL · Blue Cross Blue Shield

Other2054109FL · Aetna

Medicaid250632700FL

Other25649FL · Nhp

Other259904FL · Avmed

Other3421617FL · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anita Petteway Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082655618

PECOS Enrollment IDI20050513000398

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0992417

Anita L Petteway MD · North Miami Beach, FL

Active · expires Oct 15, 2027

CLIA Number10D0992417

Laboratory TypePhysician Office

Certificate Effective DateOctober 16, 2025

Certificate Expiration DateOctober 15, 2027

Laboratory DirectorAnita L. Petteway

Laboratory Phone(305) 944-8887

Laboratory LocationAnita L Petteway MD150 NW 168th Street Suite 301, North Miami Beach, FL 33169

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation Post-Discharge

The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…

100%22 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

68%53 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDPLAN CLINIC, LLC

Clinic/Center (Primary Care)