Individual provider Active NPI

Julia Nemiroff, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1497018006
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME131906 Issued in FL
Practice address
2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337
Phone
(561) 331-1797
Fax
(561) 331-1797
NPI assigned
Jun 19, 2012
Last updated
Oct 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X ME131906 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME131906 FL Primary

Addresses

Primary practice location

2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337

Mailing address

2560 Rca Blvd Ste 112
Palm Beach Gardens, FL 33410-3337
Phone (561) 331-1797

Other identifiers 1

IdentifierTypeStateIssuer
102676900MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170920001141 FL Practitioner - Ophthalmology 0941590053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julia Nemiroff, MD PLLCGroup PAC ID 0042546616, 2 clinicians

Practice addresses (Care Compare)

2560 Rca Blvd
Suite 112
Palm Beach Gardens, FL 33410-3337
Phone (561) 331-1797

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery171
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME131906FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Florida Eye Institute PA Single Specialty CurrentSince Jul 10, 2017 Accepting new patients
Julia Nemiroff, MD PLLC Single Specialty CurrentSince May 1, 2019 Accepting new patients
East Florida Eye Institute PA CurrentSince Jul 10, 2017 Accepting new patients

Locations

2560 Rca Blvd
Ste 112
Palm Beach Gardens, FL 33410
Phone (561) 331-1797

509 SE Riverside Dr
Ste 302
Stuart, FL 34994
Phone (772) 223-5980

Networks

  • Freedom Health HMO Network

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, 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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1497018006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 112",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103337",
            "telephone_number": "561-331-1797",
            "fax_number": "561-331-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 112",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103337",
            "telephone_number": "561-331-1797",
            "fax_number": "561-331-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROFF",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME131906",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME131906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102676900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.