Individual provider Active NPI

David H Herschthal, MD

  • Dermatology Physician
  • Boca Raton, FL
National Provider Identifier
1174566483
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME31531 Issued in FL
Practice address
7280 W Palmetto Park Rd Ste 210
Boca Raton, FL 33433-3412
Phone
(613) 919-2005
Fax
(613) 385-7027
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME31531 FL Primary

Addresses

Primary practice location

7280 W Palmetto Park Rd Ste 210
Boca Raton, FL 33433-3412

Mailing address

7421 North University Dr
Ste 301
Tamarac, FL 33321
Phone (954) 722-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dherschthal@directaddress.net Health Information Exchange (HIE)

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
I20050228000295 FL Practitioner - Dermatology 0446203764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Herschthal MD PAGroup PAC ID 6305916032, 2 clinicians

Practice addresses (Care Compare)

7280 W Palmetto Park Rd
Boca Raton, FL 33433-3412

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1196
Removal of nail tissue1-10
Skin biopsy322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME31531FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Herschthal MD PA CurrentSince Feb 1, 1988 Accepting new patients

Locations

7280 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 391-9200

7421 N University Dr
Ste 301
Tamarac, FL 33321
Phone (786) 273-0211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24672/brand/1/csg/1/fhir/r4

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1174566483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 NORTH UNIVERSITY DR",
            "address_2": "STE 301",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-722-3900",
            "fax_number": "954-720-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD STE 210",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333412",
            "telephone_number": "613-919-2005",
            "fax_number": "613-385-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHTHAL",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME31531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dherschthal@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "dherschthal@directaddress.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7280 W Palmetto Park Rd Ste 210",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334333412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.