Individual provider Active NPI

Marta Khris, M.D

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1093802928
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0071800 Issued in FL
Practice address
950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401
Phone
(561) 391-8086
Fax
(954) 354-8151
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0071800 FL Primary

Addresses

Primary practice location

950 Glades Rd Ste 4a
Boca Raton, FL 33431-6401

Mailing address

4855 W. Hillsboro Blvd.
Suite B-2
Coconut Creek, FL 33073
Phone (954) 418-1683

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
I20121031000357 FL Practitioner - Family Practice 9234389131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Local Specialty Care IncGroup PAC ID 3971591231, 29 clinicians

Practice addresses (Care Compare)

950 Glades Rd
Suite 4a
Boca Raton, FL 33431-6401
Phone (561) 391-8086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071800FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Local Specialty Care, Inc. Family Medicine CurrentSince Jun 6, 2021 Accepting new patients
Complete Local Specialty Care, Inc Family Medicine CurrentSince Sep 23, 2012 Accepting new patients
Complete Local Specialty Care, Inc Family Medicine PastSince Sep 23, 2012 Accepting new patients
Mel-Bay Health Care Inc Family Medicine Past Accepting new patients

Locations

106 NE 2nd St
Boca Raton, FL 33432
Phone (561) 391-8086

950 Glades Rd
Ste 4A
Boca Raton, FL 33431
Phone (561) 391-8086

950 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 750-8666

5355 Lyons Rd
Coconut Creek, FL 33073
Phone (954) 570-9595

4855 W Hillsboro Blvd
Ste B2
Coconut Creek, FL 33073
Phone (954) 418-1683

2500 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572

1770 E Hallandale Beach Blvd
Ste 301
Hallandale Beach, FL 33009
Phone (954) 458-2572

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HAEGBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1093802928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 W. HILLSBORO BLVD.",
            "address_2": "SUITE B-2",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-418-1683",
            "fax_number": "954-418-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GLADES RD STE 4A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316401",
            "telephone_number": "561-391-8086",
            "fax_number": "954-354-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRIS",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0071800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.