Individual provider Active NPI

Ira Martin Fine, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1235166851
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0048473 Issued in FL
Practice address
10075 Jog Rd
Suite 202
Boynton Beach, FL 33437-3535
Phone
(561) 375-8800
Fax
(561) 375-9497
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0048473 FL Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME48473 FL

Addresses

Primary practice location

10075 Jog Rd
Suite 202
Boynton Beach, FL 33437-3535

Mailing address

10075 Jog Road
Suite 202
Boynton Beach, FL 33437
Phone (561) 375-8800

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
I20040811001391 FL Practitioner - Internal Medicine 5193611697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5329 W Atlantic Ave
Suite 204
Delray Beach, FL 33484-8142
Phone (561) 375-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0048473FLMDInternal Medicine Physician
ME48473FLMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Martin Fine MD PA Internal Medicine CurrentSince Jan 1, 1998 Accepting new patients
Institute for Healthy Aging Inc Internal Medicine Past Accepting new patients

Locations

10075 S Jog Rd
Ste 202
Boynton Beach, FL 33437
Phone (561) 375-8800

10075 S Jog Rd
Ste 203
Boynton Beach, FL 33437
Phone (561) 530-8744

5329 Atlantic Ave
Ste 204
Delray Beach, FL 33484
Phone (561) 375-8800

Networks

  • Freedom Health HMO Network

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 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1235166851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 JOG ROAD",
            "address_2": "SUITE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-375-8800",
            "fax_number": "561-375-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 JOG RD",
            "address_2": "SUITE 202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373535",
            "telephone_number": "561-375-8800",
            "fax_number": "561-375-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "IRA",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0048473",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME48473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.