Individual provider Active NPI

Alan Paul Koterba, M.D.

  • Allergy Physician
  • North Palm Beach, FL
National Provider Identifier
1609994458
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME107004 Issued in FL
Practice address
840 US Highway 1 Ste 235
North Palm Beach, FL 33408-3835
Phone
(561) 626-2006
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087873 MI
Internal Medicine Physician 207R00000X 36121438 IL
Allergy Physician 207KA0200X ME107004 FL Primary

Addresses

Primary practice location

840 US Highway 1 Ste 235
North Palm Beach, FL 33408-3835

Mailing address

840 US Highway 1 Ste 235
North Palm Beach, FL 33408-3835
Phone (561) 626-2006

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
I20100823000580 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4880728146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Asthma and Allergy PCGroup PAC ID 5496719213, 13 clinicians

Practice addresses (Care Compare)

840 US Hwy 1
Suite 235
North Palm Beach, FL 33408-3835
Phone (301) 962-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36121438ILMDInternal Medicine Physician
4301087873MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Asthma and Allergy P.C. CurrentSince Sep 2, 2024 Accepting new patients

Locations

840 US Highway 1
Ste 235
North Palm Beach, FL 33408
Phone (301) 962-5800

1411 N Flagler Dr
Ste 4100
West Palm Beach, FL 33401
Phone (561) 644-3999

11002 Veirs Mill Rd
Ste 414
Wheaton, MD 20902
Phone (301) 962-1605

Interoperability endpoints

  • Direct secure messaging: koterba.alan.001.0090239@aapb.meditab.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1609994458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 235",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083835",
            "telephone_number": "561-626-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US HIGHWAY 1 STE 235",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083835",
            "telephone_number": "561-626-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERBA",
        "first_name": "ALAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36121438",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME107004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.