Individual provider Active NPI

Mark Paris, MD MPH DTM&H AAHIVS

  • General Practice Physician
  • Delray Beach, FL
National Provider Identifier
1174548226
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME79610 Issued in FL
Practice address
100 E Linton Blvd
Suite 203a
Delray Beach, FL 33483-3327
Phone
(561) 265-4969
Fax
(561) 265-4392
NPI assigned
Jul 12, 2006
Last updated
Oct 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X ME79610 FL
Ophthalmology Physician 207W00000X ME79610 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME79610 FL
General Practice Physician 208D00000X ME79610 FL Primary

Addresses

Primary practice location

100 E Linton Blvd
Suite 203a
Delray Beach, FL 33483-3327

Mailing address

7499 San Clemente PL
Boca Raton, FL 33433-1005
Phone (305) 318-7585

Other identifiers 1

IdentifierTypeStateIssuer
2623277-00MedicaidFL

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
I20040722000397 FL Practitioner - General PracticePractitioner - OphthalmologyPractitioner - Infectious Disease 6002896875 Reassigns benefits to 1 organization
Practice locations: Delray Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Infectious Disease
Education
University of Tennessee, HSC, College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 E Linton Blvd
203A
Delray Beach, FL 33483-3336
Phone (561) 265-4969

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79610FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Paris MD Inc. Current Accepting new patients
Ubuntu Integrative Health LLC CurrentSince Apr 6, 2020 Accepting new patients
Palm Beach Outpatient Surgical Center, LLC PastSince Mar 24, 2025 Accepting new patients
Multinational Service Center, Inc. Past Accepting new patients
Visual Health and Surgical Center Inc Ophthalmology PastSince May 29, 2022 Accepting new patients

Locations

15300 S Jog Rd
Ste 203
Delray Beach, FL 33446
Phone (561) 289-4642

125 S State Road 7
Ste 104342
Wellington, FL 33414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8905/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.paris.1@8905.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1174548226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7499 SAN CLEMENTE PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331005",
            "telephone_number": "305-318-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LINTON BLVD",
            "address_2": "SUITE 203A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833327",
            "telephone_number": "561-265-4969",
            "fax_number": "561-265-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD MPH DTM&H AAHIVS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "FL",
            "license": "ME79610",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79610",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME79610",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME79610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2623277-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.