James E Provo, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME67309 Issued in FL

Practice address

4705 N Federal Hwy
Boca Raton, FL 33431-5135

Phone

(561) 220-2622

Fax

(561) 257-1922

NPI assigned

Jun 29, 2006

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Emergency Medicine

Education

University of Florida College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Orthopedic Center of Palm Beach County, LLCGroup PAC ID 7315922309, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.provo.1@26475.direct.athenahealth.com

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.

• Orthopedic Center of Palm Beach County, LLC

  dba Sports and Orthopedic Center

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  Medicare reassignment Care Compare group NPD
• Orthopedic Center of Palm Beach County

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1891683801
  NPD
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD
• Aventura Emergency Associates, LLC

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1962587352
  NPD (past)
• Emergency Specialists of Wellington LLC

  • Emergency Medicine Physician
  • Wellington, FL
  • NPI 1720038391
  NPD (past)
• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880
  NPD (past)
• Orthopedic Center of Palm Beach County, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Lake Worth, FL
  • NPI 1659453835
  NPD (past)
• Inphynet Primary Care Physicians Midwest, S.C.

  • Physician Assistant
  • Fort Wayne, IN
  • NPI 1528090610

  Emergency Medicine

  NPD (past)
• Park Lenox Emergency Medicine, PC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1467605048
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1346278264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-314-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315135",
            "telephone_number": "561-220-2622",
            "fax_number": "561-257-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVO",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME67309",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME67309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27095",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377506200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Protherapy Health & Wellness Center
• Protransportation Inc.
• Provider Services of America, LLC
• Providers Who Care Home Health Agency LLC
• Provita Speech Language and Audiology Associates Corp
• Robert C. Prudente, RPH
• Stacey Nichole Prunoske, OTRL
• David W Prusakowski, DMD
• Rhonda F Pryluck, OTR/L
• Jessica Chollman Pryor, PHARMD

• Sports Medicine (Family Medicine) Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.