Individual provider Active NPI

John M Sortino, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1194711010
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME53109 Issued in FL
Practice address
113 SE Mizner Boulevard
Suite 10
Boca Raton, FL 33432-5007
Phone
(561) 391-8343
Fax
(561) 391-8294
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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 ME53109 FL Primary

Addresses

Primary practice location

113 SE Mizner Boulevard
Suite 10
Boca Raton, FL 33432-5007

Mailing address

113 SE Mizner Boulevard
Suite 10
Boca Raton, FL 33432-5007
Phone (561) 391-8343

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
I20080429000213 FL Practitioner - Internal Medicine 5496833642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME53109FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District Past Accepting new patients
North Broward Hospital District Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1194711010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SE MIZNER BOULEVARD",
            "address_2": "SUITE 10",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325007",
            "telephone_number": "561-391-8343",
            "fax_number": "561-391-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SE MIZNER BOULEVARD",
            "address_2": "SUITE 10",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325007",
            "telephone_number": "561-391-8343",
            "fax_number": "561-391-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORTINO",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.