Individual provider Active NPI

Youssef Zeidan, MD/PHD

  • Radiation Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1508093071
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME119766 Issued in FL
Practice address
701 NW 13TH St
Boca Raton, FL 33486-2305
Phone
(561) 955-4116
Fax
(561) 955-5347
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X A113666 CA
Radiation Oncology Physician 2085R0001X ME119766 FL Primary

Addresses

Primary practice location

701 NW 13TH St
Boca Raton, FL 33486-2305

Mailing address

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (561) 955-4116

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
I20141118000657 FL Practitioner - Radiation Oncology 7315169877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

701 NW 13TH St
FL 1
Boca Raton, FL 33486-2305
Phone (561) 955-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119766FLMDRadiation Oncology Physician
A113666CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Aug 1, 2021 Accepting new patients
Bocacare Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

701 NW 13th St
Fl 1
Boca Raton, FL 33486
Phone (561) 955-4111

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

701 NW 13th St
Fl 3
Boca Raton, FL 33486
Phone (561) 955-2141

10301 Hagen Ranch Rd
Ste A960
Boynton Beach, FL 33437
Phone (561) 374-5440

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1508093071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-4116",
            "fax_number": "561-955-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-4116",
            "fax_number": "561-955-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDAN",
        "first_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "A113666",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME119766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.