Individual provider Active NPI

David L Liporace, D.O.

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1184610818
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS5607 Issued in FL
Practice address
580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904
Phone
(561) 688-5030
Fax
(561) 688-9565
NPI assigned
Sep 27, 2005
Last updated
May 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS5607 FL Primary

Addresses

Primary practice location

580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904

Mailing address

580 Village Blvd
Suite 210
West Palm Beach, FL 33409-1904
Phone (561) 688-5030

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
I20110222000593 FL Practitioner - Internal Medicine 8325228745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2628 SE Federal Hwy
Jupiter, FL 34994
Phone (561) 263-7010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5607FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Jan 6, 2025 Accepting new patients
Hernando Pasco Primary Care LLC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Jupiter Medical Center Physicians Group Inc Internal Medicine Current Accepting new patients
Independant Ipa,LLC PastSince Feb 1, 2022 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

2628 SE Federal Hwy
Stuart, FL 34994
Phone (561) 263-7010

580 Village Blvd
Ste 210
West Palm Beach, FL 33409
Phone (561) 210-4033

971 Village Blvd
West Palm Beach, FL 33409
Phone (561) 688-5030

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1184610818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-688-5030",
            "fax_number": "561-688-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 210",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-688-5030",
            "fax_number": "561-688-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPORACE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS5607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.