Organization Active NPI

Aaddomedpartners PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1255891388
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AADDOMEDPARTNERS PA
Practice address
1411 N Flagler Dr
West Palm Beach, FL 33401-3404
Phone
(561) 833-4140
Fax
(561) 833-4176
NPI assigned
Mar 24, 2019
Last updated
Mar 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Authorized official

Name
Dr. Edward K Anim-Addo, MDNPI 1518998715
Title
President and Ceo
Phone
(601) 529-9961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1411 N Flagler Dr
West Palm Beach, FL 33401-3404

Mailing address

131 Dalena Way
Palm Beach Gardens, FL 33418-1739
Phone (601) 529-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191126002612 FL Part B Supplier - Clinic/Group Practice 8820421100 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2179500Aaddomedpartners PA1411 North Flagler Drive, Suite 8850, West Palm Beach, FL 33401Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

1411 N Flagler Dr
Ste 8850
West Palm Beach, FL 33401
Phone (561) 833-4140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553385600000",
    "number": "1255891388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DALENA WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334181739",
            "telephone_number": "601-529-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013404",
            "telephone_number": "561-833-4140",
            "fax_number": "561-833-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AADDOMEDPARTNERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A",
        "authorized_official_last_name": "ANIM-ADDO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "601-529-9961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.