Active NPI
Michael E. Maltman, M.D.
- Internal Medicine Physician
- Palm City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME102058
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000596200 | Medicaid | FL | |
| 91842 | Other | BLUE 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medicine Services, LLC. | Current | 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.
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
-
- Hospitalist Physician
- Port St Lucie, FL
- NPI 1205109063
-
- Hospitalist Physician
- Port St Lucie, FL
- NPI 1790955060
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.