Individual provider Active NPI

Richard Mark Foltz, MD

  • Neurological Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1336240639
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0067422 Issued in FL
Practice address
3031 NE 55TH LN
Fort Lauderdale, FL 33308-3430
Phone
(954) 695-6044
NPI assigned
Sep 26, 2006
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME0067422 FL Primary

Addresses

Primary practice location

3031 NE 55TH LN
Fort Lauderdale, FL 33308-3430

Mailing address

3031 NE 55TH LN
Fort Lauderdale, FL 33308-3430
Phone (954) 695-6044

Other identifiers 1

IdentifierTypeStateIssuer
377891600MedicaidFL

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
I20080911000417 FL Practitioner - Neurosurgery 8123918844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Sample Rd
Suite 209
Deerfield Beach, FL 33064-3547
Phone (954) 953-4599

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067422FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeana Marie LLC Current Accepting new patients
North Broward Neurospinal Surgery Inc Neurological Surgery CurrentSince Jul 1, 2019 Accepting new patients
Broward Neurosurgeons LLC Neurological Surgery Past Accepting new patients

Locations

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

1 W Sample Rd
Ste 209
Deerfield Beach, FL 33064
Phone (954) 695-6044

Interoperability endpoints

  • Direct secure messaging: richard.foltz.p1@direct.flaspinespecialists.nextgenshare.com

Organizations & group practices 3

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 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1336240639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 NE 55TH LN",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083430",
            "telephone_number": "954-695-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 NE 55TH LN",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083430",
            "telephone_number": "954-695-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTZ",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0067422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377891600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.