Individual provider Active NPI

Mario Masserano, M.D.

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1154416972
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83434 Issued in FL
Practice address
1015 Miramar Drive
Delray Beach, FL 33483-6927
Phone
(561) 276-1125
Fax
(561) 276-7698
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 ME83434 FL Primary

Addresses

Primary practice location

1015 Miramar Drive
Delray Beach, FL 33483-6927

Mailing address

1015 Miramar Drive
Delray Beach, FL 33483
Phone (561) 276-1125

Other identifiers 1

IdentifierTypeStateIssuer
1831308543OtherFLMEDICARE GROUP NPI

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
I20040422001342 FL Practitioner - Internal Medicine 5092701532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

401 E Linton Blvd
Harbours Edge
Delray Beach, FL 33483-5028
Phone (561) 272-7979

Hospital & facility affiliations

  • Apogee Home Health Home health agency, Delray Beach, FL, CCN 109080
  • Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143
  • Concierge Home Care Home health agency, West Palm Beach, FL, CCN 109658
  • Hospital Without Walls Home health agency, Boynton Beach, FL, CCN 108069
  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Harbours Edge Nursing home, Delray Beach, FL, CCN 105598
  • Abbey Delray South Nursing home, Delray Beach, FL, CCN 105411
  • Legacy at Boca Raton Rehabilitation and Nursing Ce Nursing home, Boca Raton, FL, CCN 105476

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Pro Medical Services LLC Internal Medicine CurrentSince Mar 12, 2016 Accepting new patients
Mario Masserano MD PA CurrentSince Nov 24, 2003 Accepting new patients
Portable Medical Diagnostics, Inc Past Accepting new patients

Locations

1015 Miramar Dr
Delray Beach, FL 33483
Phone (561) 276-1125

Interoperability endpoints

  • Direct secure messaging: mario.masserano@036.emedpractice.direct-ci.com

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.

Hospital & facility affiliations 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1154416972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MIRAMAR DRIVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33483",
            "telephone_number": "561-276-1125",
            "fax_number": "561-666-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MIRAMAR DRIVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836927",
            "telephone_number": "561-276-1125",
            "fax_number": "561-276-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSERANO",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI",
            "identifier": "1831308543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.