Israel Louis Wacks, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0053751 Issued in FL

Practice address

210 Jupiter Lakes Blvd
Ste 5201
Jupiter, FL 33458-7191

Phone

(561) 743-2450

NPI assigned

Apr 9, 2007

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
• Nursing Center at La Posada, The Nursing home, Palm Beach Gardens, FL, CCN 106067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: israel.wacks.1@13790.direct.athenahealth.com
• Direct secure messaging: iwacks21079@jupitermedicalcenter.direct-ci.com

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.

• Israel L. Wacks, M.D., P.a.

  • Nephrology Physician
  • Jupiter, FL
  • NPI 1366745523
  Medicare reassignment NPD Authorized official
• Fairway Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1376557090
  Care Compare group

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

• Caresouth HHA Holdings of the Treasure Coast, LLC

  dba Enhabit Home Health of Jupiter Medical Center

  • Home Health Agency
  • Jupiter, FL
  • NPI 1780635540
  Care Compare affiliation
• Good Samaritan Medical Center, Inc.

  dba Good Samaritan Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• KC PBG Health Center, LLC

  dba La Posada

  • Skilled Nursing Facility
  • Palm Beach Gardens, FL
  • NPI 1962846709

  Nursing home

  Care Compare affiliation
• Palm Beach Gardens Community Hospital, Inc.

  dba Palm Beach Gardens Medical Center

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1437272895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "STE 5201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-743-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD",
            "address_2": "STE 5201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587191",
            "telephone_number": "561-743-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKS",
        "first_name": "ISRAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0053751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nancy Marie Vrechek, PH.D.
• Nicole Wachter
• Kathleen P Waddell, RD
• Lisa Wade
• Sharlann B Wagner, LMT
• Victoria Waite
• Wal-Mart Store East, LP (Vision Center 30-2176)

• Nephrology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.