Elizabeth Perdomo

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 3392762 Issued in FL

Practice address

20889 Encanto CT
Boca Raton, FL 33433-1702

Phone

(561) 479-2305

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Collazo Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Prosper Abitbol PAGroup PAC ID 3173756822, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score

45.26 of 100Reported as group

Quality

48.53

Improvement activities

0

Cost

86.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Prosper Abitbol PA

  • Gastroenterology Physician
  • Boca Raton, FL
  • NPI 1568886323
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1427433572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20889 ENCANTO CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331702",
            "telephone_number": "561-479-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20889 ENCANTO CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334331702",
            "telephone_number": "561-479-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOMO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 3392762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "COLLAZO",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Del Pilar Penuela, M.A.,CCC,SLP
• Monica Rachel Penzick-Blitstein, AUD
• Harvey J Penziner, M.D.
• Peopleone Health Florida, LLC
• Daylin Perdomo Cabrera
• Lisa K. Perdue, A.P.
• Edgard L Pereira, M.D.
• Ella Mae Pereira, FNP-C
• Jeffrey Robert Perelman, M.D.
• Arian Perera

• Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.