Organization Active NPI

Ascendmed LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1316778665
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ASCENDMED LLC
Practice address
5458 Town Center Rd Ste 2
Boca Raton, FL 33486-1026
Phone
(561) 954-4998
Fax
(561) 431-6175
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Christine Rice
Title
Office Manager
Phone
(516) 972-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5458 Town Center Rd Ste 2
Boca Raton, FL 33486-1026

Mailing address

5458 Town Center Rd Ste 2
Boca Raton, FL 33486-1026
Phone (561) 954-4998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227000251 FL Part B Supplier - Clinic/Group Practice 4981124427 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
10D2323690Ascendmed LLC5458 Town Center Road, Suite 2, Boca Raton, FL 33486Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

5458 Town Center Rd
Ste 2
Boca Raton, FL 33486
Phone (561) 395-8699

Practitioners & affiliated clinicians

Practitioners 4

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": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1316778665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861026",
            "telephone_number": "561-954-4998",
            "fax_number": "561-431-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD STE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861026",
            "telephone_number": "561-954-4998",
            "fax_number": "561-431-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-972-9800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 9, 2024; 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.