Active NPI
David Halpert, M.D.
- Nephrology Physician
- Atlantis, FL
National Provider Identifier
1003897810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME70882
- Practice address
- 5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614 - Phone
- (561) 965-7228
- Fax
- (561) 965-5889
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME70882 | FL | |
| Nephrology Physician | 207RN0300X | ME70882 | FL | Primary |
Addresses
Primary practice location
5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614
Mailing address
5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614
Phone (561) 965-7228
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31286 | Other | FL | BLUE CROSS BLUE SHIELD |
| 390004258 | Other | FL | RR MEDICARE |
| 250095700 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000754 | FL | Practitioner - Nephrology | 2466413307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- halpert@spbn.gwaydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1003897810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE",
"address_2": "SUITE 103",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626614",
"telephone_number": "561-965-7228",
"fax_number": "561-965-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 S CONGRESS AVE",
"address_2": "SUITE 103",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626614",
"telephone_number": "561-965-7228",
"fax_number": "561-965-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALPERT",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME70882",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME70882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31286",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "390004258",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250095700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.