Individual provider Active NPI

Farid Assouad

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1023051265
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME98413 Issued in FL
Practice address
7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4150
Phone
(561) 573-3495
Fax
(888) 910-3040
NPI assigned
Jun 14, 2006
Last updated
May 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301079607 MI
Internal Medicine Physician 207R00000X ME98413 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 4301079607 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME98413 FL

Addresses

Primary practice location

7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4150

Mailing address

7777 Glades Rd
Ste 100
Boca Raton, FL 33434-4150
Phone (561) 573-3495

Other identifiers 7

IdentifierTypeStateIssuer
4803597MedicaidMI
4803603MedicaidMI
1019481OtherMIMCLAREN HEALTH PLAN
278681800MedicaidFL
4948825-10MedicaidMI
1020018OtherMIMCLAREN HEALTH PLAN
110591010OtherMIBCBSM

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
I20071009000130 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6901709443 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (609) 585-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98413FLMDGeriatric Medicine (Internal Medicine) Physician
4301079607MIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince May 18, 2019 Accepting new patients
Farid Assouad MD, P.a. Internal Medicine CurrentSince Sep 7, 2014 Accepting new patients
First Docs PC Internal Medicine CurrentSince Jan 12, 2025 Accepting new patients
Millenium Clinic, Inc CurrentSince Dec 9, 2020 Accepting new patients
Medics PC Past Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1601 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 463-4321

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

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

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

1152 N University Dr
Pembroke Pines, FL 33024
Phone (546) 397-3459

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: fassouad12839@mhsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1023051265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "561-573-3495",
            "fax_number": "888-910-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES RD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "561-573-3495",
            "fax_number": "888-910-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSOUAD",
        "first_name": "FARID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301079607",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME98413",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301079607",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME98413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4803597",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4803603",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1019481",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278681800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948825-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1020018",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "110591010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.