NPIMap

Individual provider Active NPI

John K B Afshar, MD

  • Neurological Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1245215409
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME68976 Issued in FL
Practice address
901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947
Phone
(561) 882-6214
NPI assigned
Dec 9, 2005
Last updated
Jan 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME68976 FL Primary

Addresses

Primary practice location

901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other practice location 1

509 SE Riverside Dr
Ste 203
Stuart, FL 34994-2579
Phone (772) 288-5862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000740 FL Practitioner - Neurosurgery 5294867164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

900 SE Becker Rd
Port St Lucie, FL 34984-6641
Phone (772) 255-7550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as individual
Quality
74.04
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion172
Laminectomy or laminotomy (partial removal of spine bones)94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68976FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Neurological Surgery CurrentSince Jan 8, 2020 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jan 8, 2020 Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

900 SE Becker Rd
Port St Lucie, FL 34984
Phone (772) 255-7550

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

509 SE Riverside Dr
Ste 203
Stuart, FL 34994
Phone (772) 286-1550

509 SE Riverside Dr
Ste 303
Stuart, FL 34994
Phone (772) 223-2800

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

901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 437-0589

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: john.afshar.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1245215409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VILLAGE BLVD STE 702",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091947",
            "telephone_number": "561-882-6214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 SE Riverside Dr",
            "address_2": "STE 203",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942579",
            "country_code": "US",
            "telephone_number": "772-288-5862",
            "fax_number": "772-288-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFSHAR",
        "first_name": "JOHN",
        "middle_name": "K B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME68976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.