Organization Active NPI

Bocacare Inc

Doing business as Baptist Health Medical Group North

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1104058940
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOCACARE INC
Doing business as
Baptist Health Medical Group North
Practice address
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone
(561) 955-3593
Fax
(561) 955-5151
NPI assigned
Aug 12, 2009
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Marcella Gravalese
Title
Coo
Phone
(561) 995-7800

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X
Hepatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0008X
Clinical Genetics (M.D.) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207SG0201X
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X
Colon & Rectal Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208C00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X
Urgent Care Clinic/Center 261QU0200X
Women's Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

800 Meadows Rd
Boca Raton, FL 33486-2304

Mailing address

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-3593

Other names 1

  • Baptist Health Medical Group North Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091228000461 FL Part B Supplier - Clinic/Group Practice 3870633753 Receives reassigned benefits from 207 practitioners
Practice locations: Boynton Beach, FL; Coral Gables, FL; Deerfield Beach, FL; Delray Beach, FL; Jupiter, FL; Plantation, FL; Wellington, FL; Boca Raton, FL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 36)

4920 Conference Way N
Ste 100
Boca Raton, FL 33431

4930 Conference Way N
Ste 100
Boca Raton, FL 33431
Phone (561) 272-5373

650 Glades Rd
Boca Raton, FL 33431
Phone (561) 602-1139

670 Glades Rd
Ste 400
Boca Raton, FL 33431
Phone (561) 750-2214

670 Glades Rd
Ste 400A
Boca Raton, FL 33431

690 Meadows Rd
#1
Boca Raton, FL 33486

690 Meadows Rd
#2
Boca Raton, FL 33486

690 Meadows Rd
Fl 2
Boca Raton, FL 33486
Phone (561) 955-2131

701 NW 13th St
#1
Boca Raton, FL 33486

701 NW 13th St
#3
Boca Raton, FL 33486

701 NW 13th St
Fl 1
Boca Raton, FL 33486
Phone (561) 955-4111

701 NW 13th St
Ste 101
Boca Raton, FL 33486

701 NW 13th St
Ste 3097
Boca Raton, FL 33486
Phone (561) 955-6631

7280 W Palmetto Park Rd
Ste 305
Boca Raton, FL 33433
Phone (561) 393-8800

745 Meadows Rd
Ste 100
Boca Raton, FL 33486
Phone (561) 955-6784

745 Meadows Rd
Ste 201
Boca Raton, FL 33486
Phone (561) 955-5790

800 Meadows Rd
Fl 1
Boca Raton, FL 33486
Phone (561) 955-4600

800 Meadows Rd
Ste Mni
Boca Raton, FL 33486

801 Meadows Rd
Ste 102
Boca Raton, FL 33486
Phone (561) 955-5300

825 Meadows Rd
Ste 111
Boca Raton, FL 33486
Phone (561) 394-4500

10301 Hagen Ranch Rd
Ste 940
Boynton Beach, FL 33437
Phone (561) 736-0070

10301 Hagen Ranch Rd
Ste A920
Boynton Beach, FL 33437
Phone (561) 204-9355

10301 Hagen Ranch Rd
Ste B5
Boynton Beach, FL 33437
Phone (561) 244-7720

2800 S Seacrest Blvd
Ste 160
Boynton Beach, FL 33435
Phone (561) 736-3888

2815 S Seacrest Blvd
#3
Boynton Beach, FL 33435

Practitioners & affiliated clinicians

Practitioners 227

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.

View all 227

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1104058940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-3593",
            "fax_number": "561-955-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-3593",
            "fax_number": "561-955-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "GRAVALESE",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-995-7800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Health Medical Group North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.