Individual provider Active NPI

Charles W Graubert, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
National Provider Identifier
1164476701
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME58170 Issued in FL
Practice address
3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone
(561) 737-5600
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME58170 FL Primary

Addresses

Primary practice location

3001 S Congress Ave
Boynton Beach, FL 33426-9012

Mailing address

5135 Deerhurst Crescent Cir
Boca Raton, FL 33486-8532
Phone (561) 901-2855

Other practice location 1

6363 Verde Trl
Boca Raton, FL 33433-7702
Phone (561) 483-9282

Other identifiers 1

IdentifierTypeStateIssuer
001343200MedicaidFL

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
I20100811000901 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 6103950241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Miami, LM Miller School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Hand and Orthopaedic Center PAGroup PAC ID 5991875247, 9 clinicians

Practice addresses (Care Compare)

1905 Clint Moore Rd
Suite 105
Boca Raton, FL 33496-2659
Phone (561) 241-4758

3848 Fau Blvd
Suite 305
Boca Raton, FL 33431-6437
Phone (561) 241-4758

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Hand and Orthopaedic Center PA CurrentSince Feb 10, 2025 Accepting new patients
Physiatry Medical Consulting, Inc. Physical Medicine & Rehabilitation CurrentSince Mar 1, 2023 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

1905 Clint Moore Rd
Ste 105
Boca Raton, FL 33496
Phone (561) 241-4758

3001 S Congress Ave
Boynton Beach, FL 33426
Phone (561) 737-5600

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1164476701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 DEERHURST CRESCENT CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868532",
            "telephone_number": "561-901-2855",
            "fax_number": "281-617-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334269012",
            "telephone_number": "561-737-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6363 Verde Trl",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334337702",
            "country_code": "US",
            "telephone_number": "561-483-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAUBERT",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME58170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001343200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.