NPIMap

Individual provider Active NPI

Alexander Sasha Rackman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1255775805
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME155094 Issued in FL
Practice address
880 NW 13TH St
Boca Raton, FL 33486-2342
Phone
(561) 566-5328
NPI assigned
Apr 25, 2013
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MTL-2017-075 GU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036140524 IL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME155094 FL Primary

Addresses

Primary practice location

880 NW 13TH St
Boca Raton, FL 33486-2342

Mailing address

880 NW 13TH St
Boca Raton, FL 33486-2342
Phone (561) 566-5328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171002002831 GU Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1456642800 Reassigns benefits to 1 organization
I20220604000100 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1456642800 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

880 NW 13TH St
Suite 400
Boca Raton, FL 33486-2342
Phone (561) 566-5328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MTL-2017-075GUMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc CurrentSince Jul 1, 2022 Accepting new patients
Florida Atlantic University CurrentSince May 1, 2022 Accepting new patients
Florida Atlantic University Current Accepting new patients
Radial Health Southeast LLC Internal Medicine CurrentSince Jan 14, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Sep 1, 2017 Accepting new patients
Florida Atlantic University Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
Thema Brain Health Florida LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

3998 Fau Blvd
Ste 120
Boca Raton, FL 33431
Phone (561) 918-0002

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

880 NW 13th St
Ste 400
Boca Raton, FL 33486
Phone (561) 297-4814

9945 Central Park Blvd N
Boca Raton, FL 33428
Phone (561) 483-0498

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

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

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

Interoperability endpoints

  • Direct secure messaging: arackman117212@direct.rush.rush-health.com
  • Direct secure messaging: arackman3666623@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJAGBD/Endpoint/AJAGBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Legacy at Boca Raton Rehabilitation and Nursing CenterBoca Raton, FL, CCN 105476 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Boca Regents Opco LLC

    dba The Legacy at Boca Raton Rehabilitation and Nursing Center

    • Skilled Nursing Facility
    • Boca Raton, FL
    • NPI 1427620202

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 8

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 9

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1255775805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "561-566-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "561-566-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKMAN",
        "first_name": "ALEXANDER",
        "middle_name": "SASHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "MTL-2017-075",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036140524",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME155094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.