Individual provider Active NPI

Yehuda Fuzailov

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1336536382
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME149146 Issued in FL
Practice address
1601 Clint Moore Rd Ste 100
Boca Raton, FL 33487-5712
Phone
(718) 607-5466
NPI assigned
Apr 16, 2015
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 295176 NY
Pulmonary Disease Physician 207RP1001X ME149146 FL
Hospitalist Physician 208M00000X ME149146 FL
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME149146 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd Ste 100
Boca Raton, FL 33487-5712

Mailing address

1601 Clint Moore Rd Ste 100
Boca Raton, FL 33487-5712

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
I20210510000589 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4486063138 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Critical Care Associates of South Florida LLCGroup PAC ID 4789871088, 20 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Bethesda Hospital East
Boynton Beach, FL 33435-7995
Phone (561) 737-7733

800 Meadows Rd
Boca Raton, FL 33486-2368
Phone (561) 955-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.71 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295176NYMDInternal Medicine Physician
ME149146FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Telehealth, LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Critical Care Associates of South Florida LLC Critical Care Medicine CurrentSince Jul 1, 2021 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Apr 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Pulmonary & Sleep Associates of South Florida PA Pulmonary Disease CurrentSince Jul 1, 2021 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 100
Boca Raton, FL 33487
Phone (561) 939-0200

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

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Interoperability endpoints

  • Direct secure messaging: yfuzailov360080@nychhc.direct-ci.com

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 1

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1336536382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "718-607-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUZAILOV",
        "first_name": "YEHUDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "295176",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME149146",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME149146",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME149146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.