NPIMap

Individual provider Active NPI

James C Padula, D.O.

  • Internal Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1083744957
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7123 Issued in FL
Practice address
1926 10TH Ave N Ste 100
Lake Worth, FL 33461-3300
Phone
(561) 461-7272
Fax
(561) 577-1176
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS7123 FL
Internal Medicine Physician 207R00000X OS7123 FL Primary

Addresses

Primary practice location

1926 10TH Ave N Ste 100
Lake Worth, FL 33461-3300

Mailing address

1926 10TH Ave N Ste 100
Lake Worth, FL 33461-3300
Phone (561) 461-7272

Other identifiers 1

IdentifierTypeStateIssuer
1083744957OtherFL2ND LOCATION: BROWARD OUTPATIENT MEDICAL CENTER 3RD LOCATION BROWARD O.P. CTR.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000735 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Family PracticePractitioner - Interventional Pain ManagementPractitioner - Pain Management 9537060074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Specialists of South FloridaGroup PAC ID 2668443144, 5 clinicians

Practice addresses (Care Compare)

1926 10TH Ave N
405 Lake Worth
Lake Worth Beach, FL 33461-3368
Phone (954) 447-5206

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialists of South Florida CurrentSince Mar 1, 2024 Accepting new patients
Golden Multispecialty Group Interventional Pain Medicine PastSince Mar 29, 2013 Accepting new patients
James C Padula DO Inc Internal Medicine PastSince Aug 12, 2013 Accepting new patients
Bethesda Health Outpatient Services, Inc. Past Accepting new patients
Laboratory Specialists of Michigan, LLC PastSince Apr 11, 2018 Accepting new patients
Careservices of Central Florida LLC Past Accepting new patients
Elite MD, Inc. Past Accepting new patients
Hands on Healthcare Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Interventional Pain Professionals of Florida, Inc. Interventional Pain Medicine PastSince Dec 16, 2020 Accepting new patients

Locations

10650 W State Road 84
Ste 104
Davie, FL 33324
Phone (954) 382-1550

1926 10th Ave N
Ste 100
Lake Worth Beach, FL 33461
Phone (561) 461-7272

1926 10th Ave N
Ste 405
Lake Worth Beach, FL 33461
Phone (844) 487-8346

601 N Flamingo Rd
Ste 305
Pembroke Pnes, FL 33028
Phone (954) 382-1550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAJAA
  • Direct secure messaging: james.padula.1@4307.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAGBBD/Endpoint/BAGBBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEFDD/Endpoint/CBEFDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Village Home Care, LLCOcala, FL, CCN 108125 Home health agency 5% Or Greater Indirect Ownership Interest (8.75%) Aug 20, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1083744957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613300",
            "telephone_number": "561-461-7272",
            "fax_number": "561-577-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N STE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613300",
            "telephone_number": "561-461-7272",
            "fax_number": "561-577-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADULA",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS7123",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2ND LOCATION: BROWARD OUTPATIENT MEDICAL CENTER 3RD LOCATION BROWARD O.P. CTR.",
            "identifier": "1083744957",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.