Mary Samia Sifain, DO

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

OS20700 Issued in FL

Practice address

2900 N Military TRL Ste 195
Boca Raton, FL 33431-6308

Phone

(561) 241-7100

NPI assigned

Feb 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Samia Mansour Former name

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

Specialty

Nephrology

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boca Nephrology PAGroup PAC ID 5991747388, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Pinnacle Dialysis of Boca Raton Dialysis facility, Boca Raton, FL, CCN 102658
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Boca Nephrology PA

  • Nephrology Physician
  • Boca Raton, FL
  • NPI 1578556759

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• West Boca Medical Center, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1588697296
  Care Compare affiliation

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1013474188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-241-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-241-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFAIN",
        "first_name": "MARY",
        "middle_name": "SAMIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS20700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MANSOUR",
            "middle_name": "SAMIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard M. Siegel, PHD, LMHC, CST
• William Siegel, MD
• Dennis Francisco Sierra, DMD
• Onelsy Sierra, PT
• Victoria Lizeth Sierra
• Monica Joyce Sifontes Gonzalez, RBT
• Leslie Paul Sigale, RPH
• Pamela Diane Sigda, PHD
• Sightlineworks LLC
• Signature Medical Care LLC

• Nephrology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.