Individual provider Active NPI

Michaeal M Zukowsky, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1104933159
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME38927 Issued in FL
Practice address
801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346
Phone
(561) 392-4107
Fax
(561) 393-7130
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME38927 FL Primary

Addresses

Primary practice location

801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd
Suite 120
Boca Raton, FL 33486-2346
Phone (561) 392-4107

Other identifiers 1

IdentifierTypeStateIssuer
257546900MedicaidFL

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
I20040920000111 FL Practitioner - Internal Medicine 1557339454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians

Practice addresses (Care Compare)

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

9655 Boynton Beach Blvd
Boynton Beach, FL 33472-4421
Phone (561) 336-7000

Hospital & facility affiliations

  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME38927FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Palm Beach Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Northeast Florida Hospitalists Inc CurrentSince Sep 1, 2001 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
Complete Local Specialty Care, Inc Internal Medicine PastSince Sep 23, 2012 Accepting new patients
Complete Local Specialty Care, Inc Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

5360 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-0400

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

Interoperability endpoints

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1104933159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-392-4107",
            "fax_number": "561-393-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-392-4107",
            "fax_number": "561-393-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKOWSKY",
        "first_name": "MICHAEAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME38927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257546900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.