Individual provider Active NPI

Daniela Concha-Alecchi Dejo, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1285192153
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111919 Issued in FL
Practice address
7035 Beracasa Way
Boca Raton, FL 33433-3405
Phone
(561) 361-1515
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9111919 FL Primary

Addresses

Primary practice location

7035 Beracasa Way
Boca Raton, FL 33433-3405

Mailing address

5483 Liberty LN
Westlake, FL 33470-2014
Phone (954) 829-8676

Other names 1

  • Daniela Concha-Alecchi Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326002072 FL Practitioner - Physician Assistant 9537409727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1200 W Yamato Rd
Suite A7
Boca Raton, FL 33431-4429
Phone (561) 288-0722

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

4714 Okeechobee Blvd
West Palm Beach, FL 33417-4626
Phone (877) 652-8705

601 Linton Blvd
Delray Beach, FL 33444-8149
Phone (561) 276-2270

640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9111919FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 18, 2020 Accepting new patients

Locations

7035 Beracasa Way
Boca Raton, FL 33433
Phone (561) 361-1515

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

901 S State Road 7
Plantation, FL 33317
Phone (754) 200-8803

5817 N University Dr
Tamarac, FL 33321
Phone (954) 720-1111

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1285192153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5483 LIBERTY LN",
            "city": "WESTLAKE",
            "state": "FL",
            "postal_code": "334702014",
            "telephone_number": "954-829-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333405",
            "telephone_number": "561-361-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA-ALECCHI DEJO",
        "first_name": "DANIELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELA",
            "last_name": "CONCHA-ALECCHI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.