Individual provider Active NPI

Jose Nodarse, M.D.

  • Obstetrics & Gynecology Physician
  • Boynton Beach, FL
National Provider Identifier
1013178169
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 96240 Issued in FL
Practice address
2828 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7944
Phone
(561) 413-2850
Fax
(561) 651-9059
NPI assigned
Jun 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 96240 FL Primary

Addresses

Primary practice location

2828 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd
Suite 102
Boynton Beach, FL 33435-7944
Phone (561) 413-2850

Other identifiers 1

IdentifierTypeStateIssuer
000898800MedicaidFL

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
I20091002000650 FL Practitioner - Obstetrics/Gynecology 8729124847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1495 Forest Hill Blvd D
West Palm Beach, FL 33406-6073
Phone (561) 651-9056

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96240FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Feb 1, 2013 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 1, 2022 Accepting new patients
Womencare PA Past Accepting new patients

Locations

2828 S Seacrest Blvd
Ste 102
Boynton Beach, FL 33435
Phone (561) 651-9056

250 SE 23rd Ave
Ste A
Boynton Beach, FL 33435
Phone (561) 737-2085

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

2800 S Seacrest Blvd
Ste 220
Boynton Beach, FL 33435
Phone (561) 742-3929

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3142 S Congress Ave
Palm Springs, FL 33461
Phone (561) 737-2085

1495 Forest Hill Blvd
Ste D
West Palm Beach, FL 33406
Phone (561) 433-9999

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.nodarse.1@2183.direct.athenahealth.com

Organizations & group practices 5

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1013178169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-413-2850",
            "fax_number": "561-651-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-413-2850",
            "fax_number": "561-651-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODARSE",
        "first_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 96240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000898800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.