NPIMap

Individual provider Active NPI

Israel Machin, M.D.

  • Family Medicine Physician
  • Lake Clarke Shores, FL
National Provider Identifier
1295711349
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME86287 Issued in FL
Practice address
1511 Forest Hill Blvd
Suite C
Lake Clarke Shores, FL 33406-6077
Phone
(561) 433-3556
NPI assigned
Dec 21, 2005
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME86287 FL Primary

Addresses

Primary practice location

1511 Forest Hill Blvd
Suite C
Lake Clarke Shores, FL 33406-6077

Mailing address

1511 Forest Hill Blvd
Suite C
Lake Clarke Shores, FL 33406-6077
Phone (561) 433-3556

Other identifiers 1

IdentifierTypeStateIssuer
2664160 00MedicaidFL

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
I20050621000183 FL Practitioner - Family PracticePractitioner - General Practice 8224073390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Israel Machin MD PAGroup PAC ID 7719082262, 4 clinicians

Practice addresses (Care Compare)

1511 Forest Hill Blvd
C
Lake Clarke Shores, FL 33406-6077
Phone (561) 433-3556

1511 Forest Hill Blvd C
Lake Clarke Shores, FL 33406-6077

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Israel Machin MD PA CurrentSince Jan 1, 2007 Accepting new patients
Dr Isarel Machin Current Accepting new patients
Machin Medical Center PA 2 Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Doctor S Choice Medical Center Inc Past Accepting new patients
Apollo Medical Management Past Accepting new patients
Luis E Otero MD PA Family Medicine Past Accepting new patients

Locations

1511 Forest Hill Blvd
Ste 3
West Palm Beach, FL 33406
Phone (561) 433-3556

1511 Forest Hill Blvd
Ste C
West Palm Beach, FL 33406
Phone (561) 433-3556

6215 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 582-1201

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIDBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIDBD/Endpoint/BEIDBD

Organizations & group practices 6

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1295711349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 FOREST HILL BLVD",
            "address_2": "SUITE C",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066077",
            "telephone_number": "561-433-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 FOREST HILL BLVD",
            "address_2": "SUITE C",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066077",
            "telephone_number": "561-433-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHIN",
        "first_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME86287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664160 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

Verify at the official NPI Registry.