Active NPI
Farid Assouad
- Internal Medicine Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME98413
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4803597 | Medicaid | MI | |
| 4803603 | Medicaid | MI | |
| 1019481 | Other | MI | MCLAREN HEALTH PLAN |
| 278681800 | Medicaid | FL | |
| 4948825-10 | Medicaid | MI | |
| 1020018 | Other | MI | MCLAREN HEALTH PLAN |
| 110591010 | Other | MI | BCBSM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME98413 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
| 4301079607 | MI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QMC LLC | Current | Accepting new patients | |
| Farid Assouad MD, P.a. | Internal Medicine | Current | Accepting new patients |
| First Docs PC | Internal Medicine | Current | Accepting new patients |
| Millenium Clinic, Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Miramar, FL
- NPI 1144622754
-
- Community/Behavioral Health Agency
- Pembroke Pines, FL
- NPI 1710303896
-
- Family Medicine Physician
- Howard City, MI
- NPI 1194949990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital Pembroke
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
dba Memorial Hospital West
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
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
- Daniel P Assion, D.C.
- Assist Nursing Agency LLC
- Assistance Solution Corp.
- Associated Chiropractic
- Associated Family Physicians of Boca Raton, P.L. (Associated Family Physicians of Florida)
- Soraya Inmaculada Astacio, M.H. COUNSELOR
- Stephanie Anne Aster Garreau, LMHC
- Asthma & Allergy Associates of FL PA
- Asthma & Allergy Associates of FL PA
- Astracare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.