Organization Active NPI

Paradise Ir Locums PC

  • Vascular & Interventional Radiology Physician
  • Delray Beach, FL
National Provider Identifier
1407740855
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
PARADISE IR LOCUMS PC
Practice address
4205 W Atlantic Ave Ste 102
Delray Beach, FL 33445-3901
Phone
(561) 894-1370
Fax
(561) 894-1372
NPI assigned
Jun 9, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Mikhail Higgins, MDNPI 1841583051
Title
Authorized Official
Phone
(561) 894-1370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

4205 W Atlantic Ave Ste 102
Delray Beach, FL 33445-3901

Mailing address

6574 N State Road 7 # 207
Coconut Creek, FL 33073-3625
Phone (954) 495-4834

Other practice location 1

7556 Lake Worth Rd Ste 103
Lake Worth, FL 33467-2503
Phone (561) 894-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812000577 FL Part B Supplier - Clinic/Group Practice 3173021805 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL; Lake Worth, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1407740855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 N STATE ROAD 7 # 207",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733625",
            "telephone_number": "954-495-4834",
            "fax_number": "561-894-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W ATLANTIC AVE STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453901",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7556 Lake Worth Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672503",
            "country_code": "US",
            "telephone_number": "561-894-1370",
            "fax_number": "561-894-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE IR LOCUMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-894-1370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.