Individual provider Active NPI

Stephen N Makoni, MD

  • Hematology & Oncology Physician
  • Lake Worth, FL
National Provider Identifier
1073544532
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME129420 Issued in FL
Practice address
3450 Lantana Rd Ste 100
Lake Worth, FL 33462
Phone
(561) 965-1864
Fax
(561) 967-5005
NPI assigned
Jul 5, 2006
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME129420 FL Primary
Hematology & Oncology Physician 207RH0003X 10238 ND

Addresses

Primary practice location

3450 Lantana Rd Ste 100
Lake Worth, FL 33462

Mailing address

3450 Lantana Rd
Ste 100
Lake Worth, FL 33462-1304
Phone (701) 721-3872

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
I20190116001598 FL Practitioner - Hematology/Oncology 5597768895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12993 Southern Blvd
Suite B
Loxahatchee, FL 33470-9215
Phone (561) 793-0106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129420FLMDHematology & Oncology Physician
10238NDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Oncology Associates of the Palm Beaches Hematology & Oncology CurrentSince Nov 21, 2018 Accepting new patients
Hematology Oncology Associates of the Palm Beaches Hematology & Oncology Current Accepting new patients
Hematology Oncology Associates of the Palm Beaches Hematology & Oncology CurrentSince Nov 21, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2300 S Congress Ave
Ste 103
Boynton Beach, FL 33426
Phone (561) 732-2440

3450 Lantana Rd
Ste 100
Lake Worth, FL 33462
Phone (561) 965-1864

12993 Southern Blvd
Ste B
Loxahatchee, FL 33470
Phone (561) 784-3700

4685 S Congress Ave
Ste 200
Palm Springs, FL 33461
Phone (561) 965-1864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: smakoni@hoapb.direct.varian.com

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

Hospital & facility affiliations 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1073544532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 LANTANA RD",
            "address_2": "STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334621304",
            "telephone_number": "701-721-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 LANTANA RD STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-965-1864",
            "fax_number": "561-967-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKONI",
        "first_name": "STEPHEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME129420",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ND",
            "license": "10238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.