NPIMap

Organization Active NPI

Critical Care Associates of South Florida LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1619280591
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME85992 Issued in FL
Legal business name
CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC
Practice address
800 Meadows Road
Attn: Medical Staff Office Intensivist Program
Boca Raton, FL 33486
Phone
(561) 939-0200
Fax
(561) 939-0274
NPI assigned
Jul 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Ralph Palumbo, MDNPI 1295717718
Title
Manager
Phone
(561) 939-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X ME85992 FL Primary

Addresses

Primary practice location

800 Meadows Road
Attn: Medical Staff Office Intensivist Program
Boca Raton, FL 33486

Mailing address

PO Box 810097
Boca Raton, FL 33481-0097
Phone (561) 939-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213000916 FL Part B Supplier - Clinic/Group Practice 4789871088 Receives reassigned benefits from 46 practitioners
Practice locations: Boca Raton, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1601 Clint Moore Rd
Ste 100
Boca Raton, FL 33487
Phone (561) 939-0200

800 Meadows Rd
Ofc
Boca Raton, FL 33486
Phone (561) 939-0200

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1619280591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810097",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334810097",
            "telephone_number": "561-939-0200",
            "fax_number": "561-939-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS ROAD",
            "address_2": "ATTN: MEDICAL STAFF OFFICE INTENSIVIST PROGRAM",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-939-0200",
            "fax_number": "561-939-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-939-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME85992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.