Organization Active NPI

Palm Beach Heart Clinic PA

  • Cardiovascular Disease Physician
  • Jupiter, FL
National Provider Identifier
1013026889
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME78000 Issued in FL
Legal business name
PALM BEACH HEART CLINIC PA
Practice address
108 Intracoastal Pointe Dr
Suite 100
Jupiter, FL 33477-5036
Phone
(561) 575-5785
Fax
(561) 575-3153
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Predrag Knez, MDNPI 1144307786
Title
Doctor
Phone
(561) 575-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME78000 FL Primary

Addresses

Primary practice location

108 Intracoastal Pointe Dr
Suite 100
Jupiter, FL 33477-5036

Mailing address

108 Intracoastal Pointe Dr
Suite 100
Jupiter, FL 33477-5036
Phone (561) 575-5785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050825000078 FL Part B Supplier - Clinic/Group Practice 7315978863 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDEECD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1013026889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-575-5785",
            "fax_number": "561-575-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 INTRACOASTAL POINTE DR",
            "address_2": "SUITE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775036",
            "telephone_number": "561-575-5785",
            "fax_number": "561-575-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH HEART CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "KNEZ",
        "authorized_official_first_name": "PREDRAG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-575-5785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME78000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.