Individual provider Active NPI

Lauresha Hysa, M.D.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1265462329
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME112127 Issued in FL
Practice address
8903 Glades Rd # Suitek1A
Boca Raton, FL 33434-4074
Phone
(561) 955-6115
NPI assigned
Jul 4, 2006
Last updated
Mar 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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 4301087399 MI
Internal Medicine Physician 207R00000X ME112127 FL Primary

Addresses

Primary practice location

8903 Glades Rd # Suitek1A
Boca Raton, FL 33434-4074

Mailing address

5851 Holmberg Rd
Apt 2314
Parkland, FL 33067-4536
Phone (954) 775-0349

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
I20120605000742 FL Practitioner - Internal Medicine 7517963663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

8903 Glades Rd
Suite K1A
Boca Raton, FL 33434-4010
Phone (561) 955-6115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc Internal Medicine CurrentSince Feb 20, 2012 Accepting new patients
Bocacare Inc Internal Medicine CurrentSince Feb 20, 2012 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

8903 Glades Rd
Ste K1A
Boca Raton, FL 33434
Phone (561) 955-6111

Interoperability endpoints

  • Direct secure messaging: lauresha.hysa.1@26289.direct.athenahealth.com
  • Direct secure messaging: lhysa@brrh.gwaydirect.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 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1265462329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 HOLMBERG RD",
            "address_2": "APT 2314",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330674536",
            "telephone_number": "954-775-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 GLADES RD # SUITEK1A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344074",
            "telephone_number": "561-955-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYSA",
        "first_name": "LAURESHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087399",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME112127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.