Individual provider Active NPI

Soraya Breda, PA-C

  • Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1174556260
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102225 Issued in FL
Practice address
5162 Linton Blvd Ste 203
Delray Beach, FL 33484-6567
Phone
(561) 877-3376
Fax
(877) 992-1153
NPI assigned
Jul 9, 2006
Last updated
Feb 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102225 FL Primary

Addresses

Primary practice location

5162 Linton Blvd Ste 203
Delray Beach, FL 33484-6567

Mailing address

5162 Linton Blvd Ste 203
Delray Beach, FL 33484-6567
Phone (561) 877-3376

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000567 FL Practitioner - Physician Assistant 8820173784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

4700 N Congress Ave
Suite 100
West Palm Beach, FL 33407-3284
Phone (561) 806-0030

8230 S Jog Rd
Boynton Beach, FL 33472-2938
Phone (561) 739-9595

Merit-based Incentive Payment System (MIPS)

Final score
88.52 of 100Reported as group
Quality
82.84
Promoting interoperability
100
Improvement activities
40
Cost
78.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1174556260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD STE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-877-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD STE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-877-3376",
            "fax_number": "877-992-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREDA",
        "first_name": "SORAYA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.