Active NPI
Mauricio Danckers Degregori, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- M121491
- Practice address
- 1875 NW Corporate Blvd Ste 270
Boca Raton, FL 33431-8550 - Phone
- (561) 997-0821
- NPI assigned
- Jul 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M121491 | FL | Primary |
| Pulmonary Disease Physician | 207RP1001X | M121491 | FL |
Addresses
Primary practice location
1875 NW Corporate Blvd Ste 270
Boca Raton, FL 33431-8550
Mailing address
8310 SW 99TH Ave
Miami, FL 33173-4021
Phone (305) 484-2852
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
- Critical Care (Intensivists)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (561) 997-0821
Hospital & facility affiliations
- HCA Florida Aventura Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M121491 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
1875 NW Corporate Blvd
Ste 270
Boca Raton, FL 33431
Phone (561) 997-0849
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1386956779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8310 SW 99TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331734021",
"telephone_number": "305-484-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 NW CORPORATE BLVD STE 270",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334318550",
"telephone_number": "561-997-0821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCKERS DEGREGORI",
"first_name": "MAURICIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "M121491",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "M121491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.