Individual provider Active NPI

Peter Cowen, MD

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1598707200
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME40015 Issued in FL
Practice address
5401 S Congress Ave
212 Medical Specialists of the Palm Beaches
Atlantis, FL 33462-6635
Phone
(561) 357-2040
Fax
(561) 357-2045
NPI assigned
Jun 10, 2006
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME40015 FL Primary

Addresses

Primary practice location

5401 S Congress Ave
212 Medical Specialists of the Palm Beaches
Atlantis, FL 33462-6635

Mailing address

5700 Lake Worth Rd
Medical Specialists of the Palm Beaches #204
Lake Worth, FL 33463
Phone (561) 968-7968

Other identifiers 1

IdentifierTypeStateIssuer
40544200MedicaidFL

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
I20100415000220 FL Practitioner - Internal Medicine 6406983964 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME40015FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Hospitalist Group Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1598707200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "MEDICAL SPECIALISTS OF THE PALM BEACHES #204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-968-7968",
            "fax_number": "561-964-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE",
            "address_2": "212 MEDICAL SPECIALISTS OF THE PALM BEACHES",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626635",
            "telephone_number": "561-357-2040",
            "fax_number": "561-357-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWEN",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME40015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40544200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.