Individual provider Active NPI

Marcelo J Filizzola, MD

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1417939141
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME97520 Issued in FL
Practice address
5458 Town Center Rd
Suite 2
Boca Raton, FL 33486-1089
Phone
(561) 395-8699
Fax
(561) 395-9268
NPI assigned
Nov 17, 2005
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME97520 FL Primary
Internal Medicine Physician 207R00000X 20030176 NM

Addresses

Primary practice location

5458 Town Center Rd
Suite 2
Boca Raton, FL 33486-1089

Mailing address

5458 Town Center Rd
Suite 2
Boca Raton, FL 33486-1089
Phone (561) 395-8699

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
I20070529000405 FL Practitioner - Infectious Disease 1759336886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Associates PAGroup PAC ID 2466441399, 7 clinicians
Specialists in Infectious DiseasesGroup PAC ID 0244338994, 2 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 243
Boca Raton, FL 33431-6362
Phone (561) 393-8224

5458 Tower Ctr Rd
Suite 2
Boca Raton, FL 33486-1026
Phone (561) 395-8699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97520FLMDSpecialist
20030176NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascendmed LLC Internal Medicine CurrentSince Aug 11, 2024 Accepting new patients
Infectious Disease Associates PA CurrentSince Jul 1, 2023 Accepting new patients
Specialists in Infectious Diseases Specialist CurrentSince Jan 15, 2007 Accepting new patients

Locations

2900 N Military Trl
Ste 243
Boca Raton, FL 33431
Phone (561) 393-8224

5458 Town Center Rd
Ste 2
Boca Raton, FL 33486
Phone (561) 395-8699

Interoperability endpoints

  • Direct secure messaging: marcelo.filizzola.1@30575.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1417939141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-395-8699",
            "fax_number": "561-395-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-395-8699",
            "fax_number": "561-395-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIZZOLA",
        "first_name": "MARCELO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97520",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "20030176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.