Intermed Services, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME0075961 Issued in FL

Legal business name

INTERMED SERVICES, PA

Practice address

1115 45TH St
Suite 1a
West Palm Beach, FL 33407-2376

Phone

(561) 845-2081

Fax

(561) 845-2953

NPI assigned

May 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shaheed Kalloo, M.D.NPI 1619024957

Title

Ceo

Phone

(561) 845-2081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Shaheed Kalloo, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1619024957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1013209980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10694",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334190694",
            "telephone_number": "561-845-2081",
            "fax_number": "561-845-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 45TH ST",
            "address_2": "SUITE 1A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072376",
            "telephone_number": "561-845-2081",
            "fax_number": "561-845-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMED SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "KALLOO",
        "authorized_official_first_name": "SHAHEED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-845-2081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0075961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intergrated Living Communities of WPB, LLC
• Lauren Evelyn Interial, OTR/L
• Interim Healthcare of Treasure Coast, Inc.
• Interim Healthcare of Treasure Coast, Inc.
• Interim Homestyle Services of the Treasure Coast
• Internal Medicine Associates of the Palm Beaches PA
• Internal Medicine Group
• Interventional Pain LLC
• Interventional Rehabilitation of South Florida, Inc
• Interventional Rehabilitation of South Florida, Inc

• Primary Care Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.