Active NPI
Eduardo Parra-Davila, M.D.
- Colon & Rectal Surgery Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME73141
- Practice address
- 1309 N. Flagler Drive
West Palm Beach, FL 33401-5435 - Phone
- (561) 882-4541
- Fax
- (561) 650-6093
- NPI assigned
- Oct 11, 2005
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | ME73141 | FL | Primary |
Addresses
Primary practice location
1309 N. Flagler Drive
West Palm Beach, FL 33401-5435
Mailing address
410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone (407) 303-3824
Other practice location 1
410 Celebration Pl Ste 302
Celebration, FL 34747-5435
Phone (407) 303-3824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269027600 | Medicaid | FL |
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
- Colorectal Surgery (Proctology)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 882-4541
1411 N Flagler Dr
St 8900
West Palm Beach, FL 33401-3458
Phone (561) 844-5255
1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 69.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 27 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73141 | FL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients |
Locations
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
1411 N Flagler Dr
Ste 8900
West Palm Beach, FL 33401
Phone (561) 227-9238
1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231
1411 N Flagler Dr
#8900
West Palm Beach, FL 33401
Phone (561) 832-8886
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- eduardo.parra-davila.1@13023.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1609864925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CELEBRATION PL STE 302",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347475435",
"telephone_number": "407-303-3824",
"fax_number": "407-303-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 N. FLAGLER DRIVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015435",
"telephone_number": "561-882-4541",
"fax_number": "561-650-6093"
}
],
"practiceLocations": [
{
"address_1": "410 Celebration Pl Ste 302",
"address_purpose": "LOCATION",
"city": "Celebration",
"state": "FL",
"postal_code": "347475435",
"country_code": "US",
"telephone_number": "407-303-3824",
"fax_number": "407-303-3825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRA-DAVILA",
"first_name": "EDUARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "FL",
"license": "ME73141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269027600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.