Individual provider Active NPI

Carlos M Victorica, MD

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1396945648
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134729 Issued in FL
Practice address
7301A W Palmetto Park Rd Ste 100B
Boca Raton, FL 33433-3403
Phone
(561) 955-5761
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M6934 TX
Family Medicine Physician 207Q00000X 74268 GA
Family Medicine Physician 207Q00000X ME134729 FL Primary

Addresses

Primary practice location

7301A W Palmetto Park Rd Ste 100B
Boca Raton, FL 33433-3403

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6975

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
I20181127002268 FL Practitioner - Family Practice 0648354340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033

7301 W Palmetto Park Rd
Suite 100B
Boca Raton, FL 33433-3450
Phone (561) 955-6240

Hospital & facility affiliations

  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Willowbrooke Court at St Andrews Estates Nursing home, Boca Raton, FL, CCN 105355

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134729FLMDFamily Medicine Physician
74268GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Aug 1, 2018 Accepting new patients
Bocacare Inc CurrentSince Aug 1, 2018 Accepting new patients
Lone Star Circle of Care Past Accepting new patients
Candler Medical Group, Inc. - Islands Family Medicine PastSince Dec 1, 2014 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

7301A W Palmetto Park Rd
Ste 100B
Boca Raton, FL 33433
Phone (561) 221-6895

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

7301 W Palmetto Park Rd
Ste 100B
Boca Raton, FL 33433
Phone (561) 955-6240

Interoperability endpoints

  • Direct secure messaging: carlos.victorica.1@26289.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1396945648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "561-955-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORICA",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "74268",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.