Individual provider Active NPI

Phillip William Ludwig, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1629025176
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME45298 Issued in FL
Practice address
1875 NW Corporate Blvd
Suite 207
Boca Raton, FL 33431
Phone
(561) 997-0821
Fax
(561) 997-0849
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME45298 FL Primary
Pulmonary Disease Physician 207RP1001X ME445298 FL

Addresses

Primary practice location

1875 NW Corporate Blvd
Suite 207
Boca Raton, FL 33431

Mailing address

1875 NW Corporate Blvd
Suite 207
Boca Raton, FL 33431
Phone (561) 997-0821

Other identifiers 1

IdentifierTypeStateIssuer
041538300MedicaidFL

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
I20061213000409 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0345249678 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME45298FLMDCritical Care Medicine (Internal Medicine) Physician
ME445298FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Telehealth, LLC Critical Care Medicine CurrentSince Oct 30, 2007 Accepting new patients
Icc Healthcare LLC Critical Care Medicine CurrentSince Jul 10, 2009 Accepting new patients
ICU NJ, PC Current Accepting new patients
Nuview Health Texas PA Critical Care Medicine PastSince Jun 9, 2017 Accepting new patients
Nuview Health Indiana PC Critical Care Medicine PastSince Mar 28, 2019 Accepting new patients
Intensive Care Consortium Inc Critical Care Medicine Past Accepting new patients

Locations

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1411 N Flagler Dr
Ste 6400
West Palm Beach, FL 33401
Phone (561) 800-3223

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1629025176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 NW CORPORATE BLVD",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NW CORPORATE BLVD",
            "address_2": "SUITE 207",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-997-0821",
            "fax_number": "561-997-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "PHILLIP",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME45298",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME445298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041538300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.