Individual provider Active NPI

Anil K. Nasta, M.D.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1528358744
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME119915 Issued in FL
Practice address
950 S Pine Island Rd Ste a-150
Plantation, FL 33324-3918
Phone
(954) 376-3739
Fax
(844) 407-9213
NPI assigned
Apr 8, 2011
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME119915 FL Primary

Addresses

Primary practice location

950 S Pine Island Rd Ste a-150
Plantation, FL 33324-3918

Mailing address

950 S Pine Island Rd Ste 150a
Plantation, FL 33324-3918
Phone (954) 376-3739

Other practice location 1

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5618

Other identifiers 2

IdentifierTypeStateIssuer
012614700MedicaidFL
14W9HOtherFLFLORIDA BLUE

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
I20140826001728 FL Practitioner - Family PracticePractitioner - Internal Medicine 8224256672 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Sep 6, 2015 Accepting new patients
MD Now Medical Centers Inc CurrentSince Sep 6, 2015 Accepting new patients
Cape Coral Hospitalists Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

2272 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 737-1927

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Organizations & group practices 4

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1528358744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S PINE ISLAND RD STE 150A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243918",
            "telephone_number": "954-376-3739",
            "fax_number": "844-407-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S PINE ISLAND RD STE A-150",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243918",
            "telephone_number": "954-376-3739",
            "fax_number": "844-407-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942346",
            "country_code": "US",
            "telephone_number": "772-223-5618",
            "fax_number": "772-288-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASTA",
        "first_name": "ANIL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME119915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012614700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14W9H",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.