Individual provider Active NPI

Daniel Andrade

  • Surgical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1205596053
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAT9115432 Issued in FL
Practice address
16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387
Phone
(561) 303-0013
Fax
(561) 499-3199
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X PENDING FL
Surgical Physician Assistant 363AS0400X PAT9115432 FL Primary

Addresses

Primary practice location

16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387

Mailing address

PO Box 20800
Belfast, ME 04915-4105
Phone (888) 402-7256

Other practice location 1

9960 Central Park Blvd N Ste 150A
Boca Raton, FL 33428-1760
Phone (561) 405-7487

Other practice location 2

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Other practice location 3

16215 S Jog Rd Ste 201
Delray Beach, FL 33446-2387
Phone (561) 303-0013

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
I20220127003001 FL Practitioner - Physician Assistant 4587056338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services LLCGroup PAC ID 0345349478, 239 clinicians

Practice addresses (Care Compare)

1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231

16215 S Jog Rd
Delray Beach, FL 33446-2387
Phone (561) 303-0013

16215 S Jog Rd
Suite 204
Delray Beach, FL 33446-2386
Phone (561) 448-3848

Hospital & facility affiliations

  • Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGFLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Dec 15, 2021 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

16215 S Jog Rd
Ste 100
Delray Beach, FL 33446
Phone (561) 303-0013

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

4205 W Atlantic Ave
Ste 201
Delray Beach, FL 33445
Phone (561) 303-0013

16215 S Jog Rd
Ste 201
Delray Beach, FL 33446
Phone (561) 303-0013

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.andrade.1@13023.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1205596053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20800",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462387",
            "telephone_number": "561-303-0013",
            "fax_number": "561-499-3199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Central Park Blvd N Ste 150A",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281760",
            "country_code": "US",
            "telephone_number": "561-405-7487",
            "fax_number": "612-885-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5352 Linton Blvd",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846514",
            "country_code": "US",
            "telephone_number": "561-498-4440",
            "fax_number": "561-495-3103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16215 S Jog Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334462387",
            "country_code": "US",
            "telephone_number": "561-303-0013",
            "fax_number": "561-499-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9115432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.