Active NPI
Todd Alan Welliver, M.D.
- Internal Medicine Physician
- Loxahatchee, FL
National Provider Identifier
1356384507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME92061
- Practice address
- 13005 Southern Blvd
Suite 233
Loxahatchee, FL 33470-9206 - Phone
- (561) 337-4336
- Fax
- (561) 337-6955
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME92061 | FL | Primary |
Addresses
Primary practice location
13005 Southern Blvd
Suite 233
Loxahatchee, FL 33470-9206
Mailing address
PO Box 211118
Royal Palm Beach, FL 33421-1118
Phone (561) 337-4336
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current | Accepting new patients |
Locations
1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1265107361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1356384507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211118",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334211118",
"telephone_number": "561-337-4336",
"fax_number": "561-337-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13005 SOUTHERN BLVD",
"address_2": "SUITE 233",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334709206",
"telephone_number": "561-337-4336",
"fax_number": "561-337-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLIVER",
"first_name": "TODD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME92061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.