Organization Active NPI

Renamed LLC

  • Nephrology Physician
  • Jupiter, FL
National Provider Identifier
1598148678
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
88718 Issued in FL
Legal business name
RENAMED LLC
Practice address
210 Jupiter Lakes Blvd Ste 3201
Jupiter, FL 33458-7189
Phone
(561) 948-3331
Fax
(561) 208-5810
NPI assigned
Jul 7, 2015
Last updated
Oct 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Ammar Almakkee, M.D.NPI 1063474195
Title
Physician
Phone
(561) 676-0566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Nephrology Physician 207RN0300X 88718 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 3201
Jupiter, FL 33458-7189

Mailing address

PO Box 31966
Palm Beach Gardens, FL 33420-1966
Phone (561) 676-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001190 FL Part B Supplier - Clinic/Group Practice 0042520702 Receives reassigned benefits from 1 practitioner
Practice locations: Hobe Sound, FL; Stuart, FL; Riviera Beach, FL; Palm Geach Gardens, FL; Palm Beach Gardens, FL; Jupiter, FL

National Provider Directory

National Provider Directory

Locations

9239 W Highland Pines Dr
West Palm Beach, FL 33418
Phone (561) 691-8630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1598148678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31966",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201966",
            "telephone_number": "561-676-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 3201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587189",
            "telephone_number": "561-948-3331",
            "fax_number": "561-208-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "ALMAKKEE",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "561-676-0566",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "88718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.