Individual provider Active NPI

Jawahar Palaniappan, MD

  • Cardiovascular Disease Physician
  • Lake Worth, FL
National Provider Identifier
1083726400
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.045420 Issued in OH
Practice address
4915 South Congress Ave
Ste B & C
Lake Worth, FL 33461-3346
Phone
(561) 967-1046
Fax
(561) 967-0167
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.045420 OH Primary

Addresses

Primary practice location

4915 South Congress Ave
Ste B & C
Lake Worth, FL 33461-3346

Mailing address

3345 Burns Rd Ste 105
Palm Beach Gardens, FL 33410-4304
Phone (561) 626-1881

Other identifiers 2

IdentifierTypeStateIssuer
060012853OtherRAILROAD MEDICARE
049558MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040621001762 OH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1153305909 Reassigns benefits to 1 organization
I20210616002588 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1153305909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Partners PLGroup PAC ID 5890751929, 27 clinicians

Practice addresses (Care Compare)

4915 S Congress Ave
Suite B and C
Lake Worth, FL 33461-4734
Phone (561) 967-1046

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital CurrentSince Aug 10, 2013 Accepting new patients
Cardiology Partners PL Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital Current Accepting new patients
Knox Cardiology Associates, Inc. Cardiovascular Disease PastSince Oct 1, 1982 Accepting new patients

Locations

532 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3021

3345 Burns Rd
Ste 105
Palm Beach Gardens, FL 33410
Phone (561) 622-4900

4915 S Congress Ave
Ste B
Palm Springs, FL 33461
Phone (561) 434-5411

3347 S State Road 7
Ste 203
Wellington, FL 33449
Phone (561) 281-8723

1500 N Dixie Hwy
Ste 104B
West Palm Beach, FL 33401
Phone (561) 790-8629

304 S 4th St
Coshocton, OH 43812
Phone (740) 622-6612

7 Woodlake Trl
Ste A
Mount Vernon, OH 43050
Phone (740) 397-0108

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

7 Woodlake Trl
Mount Vernon, OH 43050
Phone (740) 397-0108

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jawahar.palaniappan@cppl.eclinicaldirectplus.com
  • FHIR API: https://app.meldrx.com/api/fhir/gemms-kno01

Organizations & group practices 6

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1083726400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 BURNS RD STE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104304",
            "telephone_number": "561-626-1881",
            "fax_number": "561-721-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SOUTH CONGRESS AVE",
            "address_2": "STE B & C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613346",
            "telephone_number": "561-967-1046",
            "fax_number": "561-967-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANIAPPAN",
        "first_name": "JAWAHAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.045420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049558",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.