Ezra A Berkowitz, M.D.
Individual provider Active NPI Pediatric Orthopaedic Surgery Physician · Atlantis, FL
NPI 1104009067 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104009067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Orthopaedic Surgery Physician 207XP3100X
- License
- ME106116 (FL)
- Practice address
- 180 JFK Dr Ste 100
Atlantis, FL 33462-6641 - Phone
- (561) 967-6500
- Fax
- (561) 472-0467
- NPI assigned
- Dec 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Center of Palm Beach County, LLC
Practice addresses (Care Compare)
180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000552 | FL | Practitioner - Orthopedic Surgery | 3274658927 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME106116 | FL | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County | Current |
Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Current |
Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Past | Accepting new patients | |
| Orthopedic Center of Palm Beach County, Inc. | Past | Accepting new patients |
Locations
4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622
1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668
10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400
10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324
4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 779-1520
1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500
Interoperability endpoints
- ezra.berkowitz.1@26475.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | ME106116 | FL | Yes |
Addresses
Primary practice location
180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Mailing address
180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500
Other practice location 1
10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784
Phone (561) 697-6500
Other practice location 2
1221 S State Road 7 Ste 200
Wellington, FL 33414-6212
Phone (561) 697-6500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002397500 | Medicaid | FL | |
| 1104009067 | Other | NPI |
Other providers in Atlantis, FL
- Be My Nurse Inc
- Philip Beattie
- Noa Ann Beck
- Amal Benchakroun
- Andrew Ross Berkman
- Daniel Solomon Berman
- Bethesda Ecg Consultants Inc
- John Nabil Bibawy
- Emilee Binette
- Bio-Medical Applications of Florida, Inc.
All providers in Atlantis, FL · Pediatric Orthopaedic Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.