Organization Active NPI

Internal Medicine Associates of the Palm Beaches PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1285655175
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA
Practice address
1411 No. Flagler Drive
Suite 4300
West Palm Beach, FL 33401-3422
Phone
(561) 366-8408
Fax
(561) 366-8405
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Authorized official

Name
Dean S. Mann, M.D.NPI 1316961261
Title
President
Phone
(561) 366-8408

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0065507 FL

Addresses

Primary practice location

1411 No. Flagler Drive
Suite 4300
West Palm Beach, FL 33401-3422

Mailing address

P.O. Box 8296
West Palm Beach, FL 33407-0296
Phone (561) 366-8408

Other identifiers 2

IdentifierTypeStateIssuer
38486OtherFLBLUE CROSS FLORIDA
DB0979OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000875 FL Part B Supplier - Clinic/Group Practice 9032176664 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

3401 Pga Blvd
Ste 240
Palm Beach Gardens, FL 33410
Phone (561) 691-6030

1411 N Flagler Dr
Ste 4300
West Palm Beach, FL 33401
Phone (561) 366-8408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1285655175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8296",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334070296",
            "telephone_number": "561-366-8408",
            "fax_number": "561-366-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NO. FLAGLER DRIVE",
            "address_2": "SUITE 4300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013422",
            "telephone_number": "561-366-8408",
            "fax_number": "561-366-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF THE PALM BEACHES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-366-8408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0065507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FLORIDA",
            "identifier": "38486",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0979",
            "state": null
        }
    ],
    "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 Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.