Individual provider Active NPI

Kui-Tzu Victoria Feng, M.D., M.P.H.

  • Endocrinology, Diabetes & Metabolism Physician
  • Loxahatchee, FL
National Provider Identifier
1629334081
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
136002 Issued in FL
Practice address
12957 Palms West Dr Ste 204
Loxahatchee, FL 33470
Phone
(561) 303-2800
Fax
(561) 303-2801
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 136002 FL Primary

Addresses

Primary practice location

12957 Palms West Dr Ste 204
Loxahatchee, FL 33470

Mailing address

12957 Palms West Dr Ste 204
Loxahatchee, FL 33470-4932

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
I20181129002048 FL Practitioner - Endocrinology 8527357029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Thyroid and Endocrinology Wellness LLCGroup PAC ID 1052536307, 4 clinicians

Practice addresses (Care Compare)

12957 Palms W Dr
Loxahatchee, FL 33470-4932
Phone (561) 303-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136002FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Thyroid and Endocrinology Wellness, LLC CurrentSince Sep 16, 2018 Accepting new patients

Locations

12957 Palms West Dr
Ste 204
Wellington, FL 33470
Phone (561) 303-2800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFDFCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1629334081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR STE 204",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR STE 204",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-303-2800",
            "fax_number": "561-303-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "KUI-TZU",
        "middle_name": "VICTORIA",
        "name_prefix": "Miss",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "136002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.