Organization Active NPI

Deval D Joshi MD PLLC

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1053760686
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME111612 Issued in FL
Legal business name
DEVAL D JOSHI MD PLLC
Practice address
10075 S Jog Rd
Suite 203
Boynton Beach, FL 33437-3535
Phone
(561) 767-9999
Fax
(855) 699-3535
NPI assigned
Jun 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Dr. Deval D Joshi, M.D.NPI 1114116142
Title
Owner/MD
Phone
(561) 767-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME111612 FL Primary

Addresses

Primary practice location

10075 S Jog Rd
Suite 203
Boynton Beach, FL 33437-3535

Mailing address

10075 S Jog Rd
Suite 203
Boynton Beach, FL 33437-3535
Phone (561) 767-9999

Other identifiers 1

IdentifierTypeStateIssuer
004397900MedicaidFL

Other names 1

  • Joshi Retina Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160906002036 FL Part B Supplier - Clinic/Group Practice 5991091670 Receives reassigned benefits from 4 practitioners
Practice locations: Boynton Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2219382Joshi Retina Institute10075 S Jog Road Suite 203, Boynton Beach, FL 33437Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: djoshi@joshimd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1053760686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD",
            "address_2": "SUITE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373535",
            "telephone_number": "561-767-9999",
            "fax_number": "855-699-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD",
            "address_2": "SUITE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373535",
            "telephone_number": "561-767-9999",
            "fax_number": "855-699-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVAL D JOSHI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-04",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "DEVAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "561-767-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME111612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004397900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshi Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.