Individual provider Active NPI

Jason Billinghurst, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • West Palm Beach, FL
National Provider Identifier
1205008109
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME114075 Issued in FL
Practice address
4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209
Phone
(561) 725-0540
Fax
(866) 950-0297
NPI assigned
Mar 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME114075 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209

Mailing address

4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209
Phone (561) 725-0540

Other identifiers 1

IdentifierTypeStateIssuer
ME114075OtherFLFLORIDA MEDICAL LICENSE

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
I20140325000164 FL Practitioner - Orthopedic Surgery 2163581828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
JS Weill Medical College, Cornell University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Ortho-Spine Associates LLCGroup PAC ID 5799190625, 3 clinicians

Practice addresses (Care Compare)

4631 N Congress Ave
Suite 205
West Palm BCH, FL 33407-3209
Phone (561) 725-0540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103225CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Ortho-Spine Associates LLC Orthopaedic Surgery of the Spine CurrentSince Oct 22, 2012 Accepting new patients
San Diego Center for Spinal Disorders Medical Group, Inc. Past Accepting new patients
Joshua S Zager DPM PA PastSince Nov 1, 2020 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste C130
Boynton Beach, FL 33437
Phone (561) 364-5857

4631 N Congress Ave
Ste 205
West Palm Beach, FL 33407
Phone (561) 725-0540

Interoperability endpoints

  • Direct secure messaging: jbillinghurst19375@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

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": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1205008109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-725-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-725-0540",
            "fax_number": "866-950-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGHURST",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME114075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME114075",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.