Individual provider Active NPI

Frederick C Polsky, DO

  • Internal Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1386618577
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
050003755 Issued in FL
Practice address
8327 W Atlantic Blvd
Coral Springs, FL 33071-7452
Phone
(954) 755-2468
Fax
(954) 755-5436
NPI assigned
Feb 14, 2006
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 050003755 FL Primary

Addresses

Primary practice location

8327 W Atlantic Blvd
Coral Springs, FL 33071-7452

Mailing address

8327 W Atlantic Blvd
Coral Springs, FL 33071-7452
Phone (954) 755-2468

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
I20041008000973 FL Practitioner - Internal MedicinePractitioner - Family Practice 1153380605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050003755FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 1, 2022 Accepting new patients
Senior Care Medical Ctr Internal Medicine Current Accepting new patients
Florida Institute of Health LTD LLLP Past Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

8327 W Atlantic Blvd
Coral Springs, FL 33071
Phone (954) 510-2225

9800 W Sample Rd
Coral Springs, FL 33065
Phone (954) 341-3739

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

5901 Colonial Dr
Ste 301
Margate, FL 33063
Phone (954) 935-1477

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

Interoperability endpoints

  • Direct secure messaging: frederick.polsky@wellmed.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1386618577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8327 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717452",
            "telephone_number": "954-755-2468",
            "fax_number": "954-755-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8327 W ATLANTIC BLVD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717452",
            "telephone_number": "954-755-2468",
            "fax_number": "954-755-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSKY",
        "first_name": "FREDERICK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "050003755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.