NPIMap

Individual provider Active NPI

Frank Victor Custureri, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1144288119
Registry record updated Nov 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0034912 Issued in FL
Practice address
3355 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4353
Phone
(561) 627-3818
Fax
(561) 627-3835
NPI assigned
May 1, 2006
Last updated
Nov 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2009

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 ME0034912 FL Primary

Addresses

Primary practice location

3355 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4353

Mailing address

3355 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4353
Phone (561) 627-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000782 FL Practitioner - Internal Medicine 6901088996 Practice locations: Palm Beach Gardens, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3355 Burns Rd
Suite 206
Palm Beach Gardens, FL 33410-4356
Phone (561) 627-3818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0034912FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Custureri MD PastSince Jun 1, 1979 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fcustureri19609@jupitermedicalcenter.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258848000000",
    "number": "1144288119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104353",
            "telephone_number": "561-627-3818",
            "fax_number": "561-627-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD",
            "address_2": "SUITE 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104353",
            "telephone_number": "561-627-3818",
            "fax_number": "561-627-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTURERI",
        "first_name": "FRANK",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0034912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.