MD Healthcare Boca Raton LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MD HEALTHCARE BOCA RATON LLC

Practice address

7050 W. Palmetto Park Road
Suite 30
Boca Raton, FL 33433

Phone

(954) 425-9154

Fax

(866) 981-1882

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Renato Segura, M.D.NPI 1356663306

Title

Medical Director/President

Phone

(786) 301-4164

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Renato Segura, MD, LAC.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1356663306
  Medicare reassignment NPD Authorized official
• Evelyn Bryon, M.D.

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1548767577
  Medicare reassignment NPD
• Shivanand Vijay Persad, PA-C

  • Adult Medicine Physician
  • Boca Raton, FL
  • NPI 1306337753
  Medicare reassignment
• Martha R Chipi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Sunrise, FL
  • NPI 1750412938
  NPD

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1144979949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRACE",
            "address_2": "SUITE 636",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "786-553-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W. PALMETTO PARK ROAD",
            "address_2": "SUITE 30",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "954-425-9154",
            "fax_number": "866-981-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE BOCA RATON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "SEGURA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "786-301-4164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024422400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pmozell@mdhn.co",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pmozell@mdhn.co",
            "address_1": "7050 W. Palmetto Park Road",
            "address_2": "Suite 30",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PMOZELL@MDHN.CO",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7050 W. Palmetto Park Road",
            "address_2": "Suite 30",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise June McNellis, LCSW
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• General Practice Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.