NPIMap

Organization Active NPI

Medical Specialists of the Palm Beaches Inc

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1083657795
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL SPECIALISTS OF THE PALM BEACHES INC
Practice address
9868 S State Road 7 Ste 325
BLDG B
Boynton Beach, FL 33472-4477
Phone
(561) 967-5033
NPI assigned
Jun 13, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Casey Waters
Title
Ceo
Phone
(561) 649-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

9868 S State Road 7 Ste 325
BLDG B
Boynton Beach, FL 33472-4477

Mailing address

7593 Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 968-7968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000205 FL Part B Supplier - Clinic/Group Practice 0244143758 Receives reassigned benefits from 140 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10075 S Jog Rd
Ste 105
Boynton Beach, FL 33437
Phone (561) 733-0710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1083657795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-968-7968",
            "fax_number": "888-316-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 S STATE ROAD 7 STE 325",
            "address_2": "BLDG B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724477",
            "telephone_number": "561-967-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF THE PALM BEACHES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-649-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.