Individual provider Active NPI

Edyta Krzak Mularczyk, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1629080023
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME108778 Issued in FL
Practice address
8200 S Jog Rd
Ste 102
Boynton Beach, FL 33472-2981
Phone
(561) 733-3970
Fax
(561) 733-3690
NPI assigned
Aug 13, 2006
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME108778 FL Primary
Internal Medicine Physician 207R00000X 233599 NY

Addresses

Primary practice location

8200 S Jog Rd
Ste 102
Boynton Beach, FL 33472-2981

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

Other identifiers 1

IdentifierTypeStateIssuer
33803AOtherFLPTAN

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
I20110914000657 FL Practitioner - Internal Medicine 4486618246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

8200 S Jog Rd
Suite 102
Boynton Beach, FL 33472-2981
Phone (561) 737-3970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME108778FLMDInternal Medicine Physician
233599NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Bocacare Inc Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

8200 S Jog Rd
Ste 102
Boynton Beach, FL 33472
Phone (561) 299-1099

Interoperability endpoints

  • Direct secure messaging: edyta.krzak-mularczyk.1@26289.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1629080023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S JOG RD",
            "address_2": "STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-733-3970",
            "fax_number": "561-733-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULARCZYK",
        "first_name": "EDYTA",
        "middle_name": "KRZAK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108778",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "33803A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.