Individual provider Active NPI

Kevan Manraj

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1598299802
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME144383 Issued in FL
Practice address
1825 Palm Cove Blvd Apt 302
Delray Beach, FL 33445-6780
Phone
(203) 819-1926
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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
Internal Medicine Physician 207R00000X ME144383 FL Primary

Addresses

Primary practice location

1825 Palm Cove Blvd Apt 302
Delray Beach, FL 33445-6780

Mailing address

2623 South Seacrest Blvd., Suite 100
Florida Atlantic University Internal Medicine Residency
Boynton Beach, FL 33435
Phone (561) 735-6553

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
I20200603002269 FL Practitioner - Internal Medicine 3476819921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

Hospital & facility affiliations

  • Enhabit Home Health of Jupiter Medical Center Home health agency, Jupiter, FL, CCN 107544
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME144383FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Genesis Community Health, Inc Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

Interoperability endpoints

  • Direct secure messaging: kmanraj26048@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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 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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1598299802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SOUTH SEACREST BLVD., SUITE 100",
            "address_2": "FLORIDA ATLANTIC UNIVERSITY INTERNAL MEDICINE RESIDENCY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-735-6553",
            "fax_number": "561-735-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PALM COVE BLVD APT 302",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456780",
            "telephone_number": "203-819-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRAJ",
        "first_name": "KEVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME144383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.