Organization Active NPI

Mitchell Karl MD PA

  • Cardiovascular Disease Physician
  • Boca Raton, FL
National Provider Identifier
1295061794
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME50027 Issued in FL
Legal business name
MITCHELL KARL MD PA
Practice address
880 NW 13TH St
Suite 1B
Boca Raton, FL 33486-2342
Phone
(561) 392-9214
Fax
(561) 394-4250
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Mitchell Karl, MDNPI 1932291614
Title
Presidaent
Phone
(561) 392-9214

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME50027 FL Primary

Addresses

Primary practice location

880 NW 13TH St
Suite 1B
Boca Raton, FL 33486-2342

Mailing address

880 NW 13TH St
Boca Raton, FL 33486-2342
Phone (561) 392-9214

Other identifiers 1

IdentifierTypeStateIssuer
060056369MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000346 FL Part B Supplier - Clinic/Group Practice 8426190018 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, 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
10D0937537Mitchell Karl MD PA880 NW 13TH St Ste 1B, Boca Raton, FL 33486Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

801 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

880 NW 13th St
Ste 1B
Boca Raton, FL 33486
Phone (561) 392-1206

880 NW 13th St
Ste 120
Boca Raton, FL 33486
Phone (561) 392-9214

Practitioners & affiliated clinicians

Practitioners 3

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": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1295061794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "561-392-9214",
            "fax_number": "561-394-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 NW 13TH ST",
            "address_2": "SUITE 1B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862342",
            "telephone_number": "561-392-9214",
            "fax_number": "561-394-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL KARL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDAENT",
        "authorized_official_telephone_number": "561-392-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME50027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060056369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.