Active NPI
Judith Redd, MD
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1104814151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD18631
- Practice address
- 1050 NW 15TH St Ste 203
Boca Raton, FL 33486-1375 - Phone
- (561) 250-7000
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD18631 | OR | Primary |
Addresses
Primary practice location
1050 NW 15TH St Ste 203
Boca Raton, FL 33486-1375
Mailing address
1050 NW 15TH St Ste 203
Boca Raton, FL 33486-1375
Phone (561) 250-7000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Johns Hopkins University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5053 S Congress Ave
Suite 204
Lake Worth, FL 33461-4706
Phone (561) 969-7300
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 32 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1589 |
| Skin biopsy | 652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jredd@pbderm.emadirect.md
- jredd@pbd.emadirect.md
Organizations & group practices 1
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.
-
- Dermatopathology Physician
- West Palm Beach, FL
- NPI 1689640328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739059200000",
"number": "1104814151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NW 15TH ST STE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861375",
"telephone_number": "561-250-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NW 15TH ST STE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861375",
"telephone_number": "561-250-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDD",
"first_name": "JUDITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2025-02-09",
"certification_date": "2025-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD18631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.