Individual provider Active NPI

Robert A Savage, P. A.

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1487763116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 3105 Issued in FL
Practice address
1905 Clint Moore Rd
Suite 308
Boca Raton, FL 33496-2658
Phone
(561) 912-9580
Fax
(561) 912-9506
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 3105 FL Primary

Addresses

Primary practice location

1905 Clint Moore Rd
Suite 308
Boca Raton, FL 33496-2658

Mailing address

6205 Duval Dr
Margate, FL 33063-7073
Phone (954) 974-6346

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000842 FL Practitioner - Physician Assistant 5991779076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Spine Occupational Rehabilitation IncGroup PAC ID 9133105265, 3 clinicians

Practice addresses (Care Compare)

10637 Mendocino Lane
Boca Raton, FL 33428-1229

10637 Mendocino LN
Boca Raton, FL 33428-1229
Phone (561) 866-0370

6343 Via de Sonrisa del Circle
Boca Raton, FL 33446-0001
Phone (561) 866-0370

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 3105FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart a Rubin MD PA Past Accepting new patients
Alshon & Tarrash Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487763116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 DUVAL DR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330637073",
            "telephone_number": "954-974-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-912-9580",
            "fax_number": "561-912-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P. A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 3105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.