Active NPI
Jeremy Michael Segal, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME80418
- Practice address
- 7305 N Military Trail
Medicine (111)
West Palm Beach, FL 33410 - Phone
- (561) 422-6650
- Fax
- (561) 422-8708
- NPI assigned
- May 23, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME80418 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME80418 | FL | Primary |
| Pulmonary Disease Physician | 207RP1001X | ME80418 | FL |
Addresses
Primary practice location
7305 N Military Trail
Medicine (111)
West Palm Beach, FL 33410
Mailing address
7305 N Military Trail
Medicine (111)
West Palm Beach, FL 33410
Phone (561) 422-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME80418 | Other | FL | LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80418 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital Gainesville LLC | Current | Accepting new patients | |
| Intensive Care Consortium Inc | Critical Care Medicine | Current | Accepting new patients |
| Nuview Telehealth, LLC | Internal Medicine | Current | Accepting new patients |
| Select Specialty Hospital Gainesville LLC | Internal Medicine | Current | Accepting new patients |
Locations
1600 SW Archer Rd
Fl 5
Gainesville, FL 32610
Phone (352) 265-0055
2708 SW Archer Rd
Gainesville, FL 32608
Phone (352) 337-3240
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Gainesville, FL
- NPI 1396055604
Internal Medicine
-
- Long Term Care Hospital
- Gainesville, FL
- NPI 1992904163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1023063591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRAIL",
"address_2": "MEDICINE (111)",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-422-6650",
"fax_number": "561-422-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRAIL",
"address_2": "MEDICINE (111)",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-422-6650",
"fax_number": "561-422-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME80418",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME80418",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME80418",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ME80418",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.