Individual provider Active NPI

Ernesto I Segal, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1174545545
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME59130 Issued in FL
Practice address
950 NW 13TH St
Boca Raton, FL 33486-2310
Phone
(561) 391-8300
Fax
(561) 391-3744
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME59130 FL Primary

Addresses

Primary practice location

950 NW 13TH St
Boca Raton, FL 33486-2310

Mailing address

950 NW 13TH St
Boca Raton, FL 33486-2310
Phone (561) 391-8300

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
I20031229000625 FL Practitioner - Ophthalmology 9234037284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Boca Raton, P.a.Group PAC ID 5294633533, 7 clinicians

Practice addresses (Care Compare)

950 NW 13TH St
Boca Raton, FL 33486-2310
Phone (561) 391-8300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME59130FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Boca Raton, P.a. CurrentSince Dec 1, 2003 Accepting new patients

Locations

990 NW 13th St
Boca Raton, FL 33486
Phone (561) 391-8300

950 NW 13th St
Boca Raton, FL 33486
Phone (561) 391-7642

Interoperability endpoints

  • Direct secure messaging: esegal@eyeassocboca.direct.eyemdemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1174545545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862310",
            "telephone_number": "561-391-8300",
            "fax_number": "561-391-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862310",
            "telephone_number": "561-391-8300",
            "fax_number": "561-391-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "ERNESTO",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.