Individual provider Active NPI

Jeremy Michael Segal, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
National Provider Identifier
1023063591
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME80418 Issued in FL
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

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME80418OtherFLLICENSE

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
I20101202000870 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8527255512 Reassigns benefits to 3 organizations
Practice locations: West Palm Beach, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80418FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital Gainesville LLC CurrentSince Dec 10, 2012 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine CurrentSince Jun 28, 2015 Accepting new patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Jan 1, 2017 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.

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

Verify at the official NPI Registry.