Individual provider Active NPI

Fernando Mora, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1386817427
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME117167 Issued in FL
Practice address
4215 Burns Road
Suite 100
Palm Beach Gardens, FL 33410-4627
Phone
(561) 694-7776
Fax
(561) 694-3099
NPI assigned
Apr 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME117167 FL Primary

Addresses

Primary practice location

4215 Burns Road
Suite 100
Palm Beach Gardens, FL 33410-4627

Mailing address

4215 Burns Rd
Suite 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 694-7776

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
I20131114000315 FL Practitioner - Interventional Pain Management 7214163682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Palm Beach Orthopaedic Institute PAGroup PAC ID 0547153389, 43 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

4215 Burns Rd
Suite 100
Palm Beach Gardens, FL 33410-4627
Phone (561) 694-7776

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117167FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Orthopaedic Institute PA CurrentSince Aug 1, 2013 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Aug 1, 2013 Accepting new patients

Locations

2055 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 694-7777

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

4215 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410

7701 Southern Blvd
Ste 100
West Palm Beach, FL 33411
Phone (561) 694-7779

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

Interoperability endpoints

  • Direct secure messaging: fernando.mora.1@13081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 3

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1386817427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS ROAD",
            "address_2": "SUITE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776",
            "fax_number": "561-694-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORA",
        "first_name": "FERNANDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME117167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.