Individual provider Active NPI

Fares Qureiyeh, M.D.

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1619959186
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218321 Issued in MA
Practice address
5511 S Congress Ave
Suite 135
Atlantis, FL 33462-1140
Phone
(561) 642-3094
Fax
(561) 642-3095
NPI assigned
Nov 18, 2005
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218321 MA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 218321 MA
Pulmonary Disease Physician 207RP1001X 218321 MA
Pulmonary Disease Physician 207RP1001X ME106207 FL

Addresses

Primary practice location

5511 S Congress Ave
Suite 135
Atlantis, FL 33462-1140

Mailing address

5511 S Congress Ave
Suite 135
Atlantis, FL 33462-1140
Phone (561) 642-3094

Other identifiers 2

IdentifierTypeStateIssuer
001932500MedicaidFL
2010950MedicaidMA

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
I20100415000601 FL Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5799862686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

Practice addresses (Care Compare)

201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 941-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218321MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icc Healthcare LLC Critical Care Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1619959186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 135",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-642-3094",
            "fax_number": "561-642-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 S CONGRESS AVE",
            "address_2": "SUITE 135",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621140",
            "telephone_number": "561-642-3094",
            "fax_number": "561-642-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUREIYEH",
        "first_name": "FARES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "218321",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "218321",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "218321",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME106207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001932500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010950",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.