Individual provider Active NPI

Rasha R. Youssef, M.D.

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1154376648
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91431 Issued in FL
Practice address
3925 West Boynton Beach Blvd
Suite 102
Boynton Beach, FL 33436-4500
Phone
(561) 735-3334
Fax
(561) 735-3774
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME91431 FL Primary

Addresses

Primary practice location

3925 West Boynton Beach Blvd
Suite 102
Boynton Beach, FL 33436-4500

Mailing address

3925 West Boynton Beach Blvd
Suite 102
Boynton Beach, FL 33436-4500
Phone (561) 735-3334

Other identifiers 1

IdentifierTypeStateIssuer
ME91431OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME91431FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boynton Beach Heart Center PA CurrentSince Oct 24, 2021 Accepting new patients
Pricare of Broward, Inc. Past Accepting new patients
Conviva Medical Center Management LLC Family Medicine Past Accepting new patients

Locations

3925 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33436
Phone (561) 735-3334

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154376648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 WEST BOYNTON BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364500",
            "telephone_number": "561-735-3334",
            "fax_number": "561-735-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 WEST BOYNTON BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364500",
            "telephone_number": "561-735-3334",
            "fax_number": "561-735-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "RASHA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME91431",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.