Active NPI
Edgar Alberto Prettelt, M.D.
- Family Medicine Physician
- Loxahatchee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME88280
- Practice address
- 12955 Palms West Dr
Building 8 . Suite 101
Loxahatchee, FL 33470-4993 - Phone
- (561) 333-5022
- Fax
- (561) 333-0449
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME88280 | FL | Primary |
Addresses
Primary practice location
12955 Palms West Dr
Building 8 . Suite 101
Loxahatchee, FL 33470-4993
Mailing address
12955 Palms West Dr
Building 8 . Suite 101
Loxahatchee, FL 33470-4993
Phone (561) 333-5022
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88280 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Prettelt Center for Family Health PA | Family Medicine | Past | Accepting new patients |
| Orthopedic Center of Palm Beach County | Past | Accepting new patients |
Locations
10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 286-5007
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/7502/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Family Medicine Physician
- Loxahatchee, FL
- NPI 1427139328
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598854754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12955 PALMS WEST DR",
"address_2": "BUILDING 8 . SUITE 101",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704993",
"telephone_number": "561-333-5022",
"fax_number": "561-333-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 PALMS WEST DR",
"address_2": "BUILDING 8 . SUITE 101",
"city": "LOXAHATCHEE",
"state": "FL",
"postal_code": "334704993",
"telephone_number": "561-333-5022",
"fax_number": "561-333-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTELT",
"first_name": "EDGAR",
"middle_name": "ALBERTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME88280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loxahatchee, FL
- Premier Allergist of Florida LLC (Allervie Health)
- Premier Transitions MHT LLC
- Premier Wellness & Rehab Inc
- Preservation Park Emergency Physicians, LLC
- Prettelt Center for Family Health PA
- Providers Health Alliance, LLC
- Psychiatric & Concierge Services of the Palm Beaches
- Publix Super Markets Inc (Publix Pharmacy #0851)
- Pulmonary Specialists of the Palm Beaches
- Pure Thoughts at Turtle Creek
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.