Individual provider Active NPI

Michael E. Maltman, M.D.

  • Internal Medicine Physician
  • Palm City, FL
National Provider Identifier
1366690372
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME102058 Issued in FL
Practice address
1523 SW Sea Holly Way
Palm City, FL 34990-8530
Phone
(772) 249-5256
Fax
(772) 249-5274
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME102058 FL Primary

Addresses

Primary practice location

1523 SW Sea Holly Way
Palm City, FL 34990-8530

Mailing address

PO Box 1457
Palm City, FL 34991-6457
Phone (772) 249-5256

Other identifiers 2

IdentifierTypeStateIssuer
000596200MedicaidFL
91842OtherBLUE CROSS FLORIDA

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
I20090421000624 FL Practitioner - Internal Medicine 7416004825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8500

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Jun 15, 2025 Accepting new patients
St Lucie Hospitalists LLC Past Accepting new patients
Atlantic Isles Inpatient Services,LLC. Past Accepting new patients
Treasure Coast Hospitalist PA Internal Medicine Past Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

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

Organizations & group practices 5

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.

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1366690372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349916457",
            "telephone_number": "772-249-5256",
            "fax_number": "772-249-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SW SEA HOLLY WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908530",
            "telephone_number": "772-249-5256",
            "fax_number": "772-249-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTMAN",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME102058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000596200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FLORIDA",
            "identifier": "91842",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.