Dominik M Chrzan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME117139 Issued in FL

Practice address

9970 Central Park Blvd N
Suite 102
Boca Raton, FL 33428-2231

Phone

(561) 430-3599

Fax

(561) 430-3529

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

No

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

Family Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominik.chrzan.1@31574.direct.athenahealth.com

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.

• Ima of South Florida LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1144271115
  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
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1487967170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-430-3599",
            "fax_number": "561-430-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-430-3599",
            "fax_number": "561-430-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRZAN",
        "first_name": "DOMINIK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Matthew Christie II, D.C.
• Laura Christopher, MD
• Chronic Care Associates PLLC
• Dylan John Chruma
• Chrysalis Institute Inc
• Anand S Chundi
• Hac-Tu Jacqueline Thu Chung, DO
• Church Family Enterprises LLC
• Linda J. Chusid, RDN, CDN, LDN
• Rachel K Ciaccio, M.D.

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.