Individual provider Active NPI

Fernando O. Recio III

  • Gynecologic Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1568993376
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME0143131 Issued in FL
Practice address
6200 N Federal Hwy Ste 101
Boca Raton, FL 33487-3230
Phone
(561) 997-8991
NPI assigned
Mar 23, 2017
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X ME0143131 FL Primary

Addresses

Primary practice location

6200 N Federal Hwy Ste 101
Boca Raton, FL 33487-3230

Mailing address

6200 N Federal Hwy Ste 101
Boca Raton, FL 33487-3230
Phone (561) 997-8991

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
I20241121002740 FL Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9335486620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Center for Gynecologic Oncology P aGroup PAC ID 4486630308, 2 clinicians

Practice addresses (Care Compare)

6200 N Federal Hwy
Boca Raton, FL 33487-3230
Phone (561) 997-8991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of the uterus25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0143131FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Center for Gynecologic Oncology P a CurrentSince Aug 19, 2024 Accepting new patients

Locations

6200 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 737-4177

6200 N Federal Hwy
Ste 101
Boca Raton, FL 33487
Phone (561) 997-8991

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIAIBA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1568993376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N FEDERAL HWY STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873230",
            "telephone_number": "561-997-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N FEDERAL HWY STE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873230",
            "telephone_number": "561-997-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECIO",
        "first_name": "FERNANDO",
        "middle_name": "O.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-08-14",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME0143131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.