Individual provider Active NPI

Moramed Desroches, MD, PMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1487003422
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11026530 Issued in FL
Practice address
980 North Federal Highway
Suite 110 #1006
Boca Raton, FL 33432
Phone
(561) 786-5874
Fax
(561) 973-1964
NPI assigned
Jun 10, 2016
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TPPA183 FL
Physician Assistant 363A00000X 8885 AZ
Physician Assistant 363A00000X 373-PA PR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11026530 FL Primary
General Practice Physician 208D00000X HSE35829 FL

Addresses

Primary practice location

980 North Federal Highway
Suite 110 #1006
Boca Raton, FL 33432

Mailing address

980 North Federal Highway
Suite 110 #1006
Boca, FL 33432-2043
Phone (561) 786-5874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220906002060 FL Practitioner - Physician Assistant 6507240892 Reassigns benefits to 1 organization
I20230620002888 FL Practitioner - Nurse Practitioner 6507240892 Reassigns benefits to 3 organizations
I20250211003194 AZ Practitioner - Nurse Practitioner 6507240892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8885AZMDChiropractor
HSE35829FLMDGeneral Practice Physician
TPPA183FLMDPhysician Assistant
373-PAPRMDPhysician Assistant
APRN11026530FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alina Health Medical Center Corp. CurrentSince Jul 1, 2022 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Mar 12, 2024 Accepting new patients
901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC Multi-Specialty CurrentSince Oct 1, 2023 Accepting new patients
MD Psycare Psychiatric/Mental Health Current Accepting new patients
Alina Community Center at Mount Dora LLC Multi-Specialty Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

980 N Federal Hwy
Ste 110
Boca Raton, FL 33432
Phone (561) 206-2707

993 45th St
Mangonia Park, FL 33407
Phone (561) 257-3348

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1487003422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 110 #1006",
            "city": "BOCA",
            "state": "FL",
            "postal_code": "334322043",
            "telephone_number": "561-786-5874",
            "fax_number": "561-973-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 NORTH FEDERAL HIGHWAY",
            "address_2": "SUITE 110 #1006",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "561-786-5874",
            "fax_number": "561-973-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "MORAMED",
        "credential": "MD, PMNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "TPPA183",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8885",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "373-PA",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11026530",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "HSE35829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.