Individual provider Active NPI

Noureen S. Idrees-Asad, MD

  • Pediatrics Physician
  • Boca Raton, FL
National Provider Identifier
1255656203
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME120066 Issued in FL
Practice address
5458 Town Center Rd #20
Boca Raton, FL 33486-1009
Phone
(561) 391-6210
Fax
(561) 391-2810
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME120066 FL Primary

Addresses

Primary practice location

5458 Town Center Rd #20
Boca Raton, FL 33486-1009

Mailing address

5458 Town Center Rd #20
Boca Raton, FL 33486-1009
Phone (561) 391-6210

Other identifiers 1

IdentifierTypeStateIssuer
014757500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME120066FLMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: nidrees-asad@pa.trimed.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1255656203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD #20",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861009",
            "telephone_number": "561-391-6210",
            "fax_number": "561-391-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD #20",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861009",
            "telephone_number": "561-391-6210",
            "fax_number": "561-391-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDREES-ASAD",
        "first_name": "NOUREEN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME120066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014757500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.