Individual provider Active NPI

Eduardo Javier Quintero-Nazario, M.D.

  • Gastroenterology Physician
  • Boynton Beach, FL
National Provider Identifier
1306133988
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
153144 Issued in FL
Practice address
2800 S Seacrest Blvd Ste 110
Boynton Beach, FL 33435-7960
Phone
(631) 444-5220
Fax
(631) 444-5225
NPI assigned
Jul 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 289888 NY
Gastroenterology Physician 207RG0100X 153144 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2800 S Seacrest Blvd Ste 110
Boynton Beach, FL 33435-7960

Mailing address

2800 S Seacrest Blvd Ste 110
Boynton Beach, FL 33435-7960
Phone (561) 226-6610

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208002102 FL Practitioner - Gastroenterology 8426329947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premium Practice Solutions, LLCGroup PAC ID 1456520949, 5 clinicians

Practice addresses (Care Compare)

1500 N University Dr
Suite 100
Coral Springs, FL 33071-6071
Phone (954) 757-4002

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
153144FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Practice Solutions, LLC Gastroenterology CurrentSince May 15, 2024 Accepting new patients
Lighthouse Foot & Ankle Center PastSince May 15, 2024 Accepting new patients

Locations

1500 N University Dr
Ste 100
Coral Springs, FL 33071
Phone (954) 428-2480

5340 N Federal Hwy
Ste 110
Lighthouse Point, FL 33064
Phone (954) 428-2480

7447 N University Dr
#1
Tamarac, FL 33321

Organizations & group practices 2

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.

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": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1306133988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-226-6610",
            "fax_number": "561-226-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD STE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "631-444-5220",
            "fax_number": "631-444-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO-NAZARIO",
        "first_name": "EDUARDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "289888",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "153144",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.