Individual provider Active NPI

Jedlyn Pierrilus, MD

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1396973814
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125995 Issued in FL
Practice address
1301 N Congress Ave
Suite 420
Boynton Beach, FL 33426
Phone
(561) 208-1090
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME125995 FL Primary

Addresses

Primary practice location

1301 N Congress Ave
Suite 420
Boynton Beach, FL 33426

Mailing address

PO Box 19442
West Palm Beach, FL 33416-9442
Phone (561) 208-1090

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
I20160517000726 FL Practitioner - Family Practice 0446408900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 N Congress Ave
Suite 420
Boynton Beach, FL 33426-3362
Phone (561) 208-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME125995FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Integrity Health Center LLC Family Medicine CurrentSince Jul 2, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1301 N Congress Ave
Ste 420
Boynton Beach, FL 33426
Phone (561) 208-1090

13455 S Military Trl
Delray Beach, FL 33484
Phone (561) 495-9700

13455 S Military Trl
Ste A
Delray Beach, FL 33484
Phone (561) 288-6153

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1396973814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19442",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334169442",
            "telephone_number": "561-208-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N CONGRESS AVE",
            "address_2": "SUITE 420",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-208-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRILUS",
        "first_name": "JEDLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.