NPIMap

Individual provider Active NPI

Eileen Fermin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Sebastian, FL
National Provider Identifier
1265553325
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME 94980 Issued in FL
Practice address
1515 US One
Suite 204
Sebastian, FL 32958-8420
Phone
(772) 589-0300
Fax
(772) 589-4550
NPI assigned
Apr 3, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME 94980 FL Primary

Addresses

Primary practice location

1515 US One
Suite 204
Sebastian, FL 32958-8420

Mailing address

1515 Us1
Suite 204
Sebastian, FL 32958-8420
Phone (772) 589-0300

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
I20080320000700 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1557447281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuya PAGroup PAC ID 8123281003, 4 clinicians

Practice addresses (Care Compare)

13230 US Hwy 1
Sebastian, FL 32958-3748
Phone (772) 589-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 94980FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics of Boca Delray PA CurrentSince Jun 15, 2022 Accepting new patients
HP Internal Medicine LLC Current Accepting new patients
Tuya PA Geriatric Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

16244 S Military Trl
Ste 470
Delray Beach, FL 33484
Phone (561) 495-9289

13230 US Highway 1
Sebastian, FL 32958
Phone (772) 388-3911

Organizations & group practices 5

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 7

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1265553325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 US1",
            "address_2": "SUITE 204",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588420",
            "telephone_number": "772-589-0300",
            "fax_number": "772-589-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 US ONE",
            "address_2": "SUITE 204",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588420",
            "telephone_number": "772-589-0300",
            "fax_number": "772-589-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "EILEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 94980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.