Organization Active NPI

Flagler Medical Associates PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1295896025
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FLAGLER MEDICAL ASSOCIATES PA
Practice address
1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302
Phone
(561) 659-7411
Fax
(561) 659-7423
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mark Rattinger, MDNPI 1104988195
Title
President
Phone
(561) 659-7411

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302

Mailing address

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302
Phone (561) 659-7411

Other identifiers 3

IdentifierTypeStateIssuer
015354OtherFLAETNA
99205OtherFLBCBS
100800OtherFLHUMANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000916 FL Part B Supplier - Clinic/Group Practice 5799772596 Receives reassigned benefits from 16 practitioners
Practice locations: West Palm Beach, FL; Loxahatchee, 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
10D0683297Flagler Medical Associates PA1552 Palm Beach Lakes Blvd, West Palm Beach, FL 33401AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

733 US Highway 1
North Palm Beach, FL 33408
Phone (561) 840-1090

315 S Flagler Dr
West Palm Beach, FL 33401
Phone (561) 655-8544

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1295896025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012302",
            "telephone_number": "561-659-7411",
            "fax_number": "561-659-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012302",
            "telephone_number": "561-659-7411",
            "fax_number": "561-659-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "RATTINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-659-7411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "015354",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99205",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "100800",
            "state": "FL"
        }
    ],
    "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 Apr 14, 2010; 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.