Active NPI
Korey Ullrich, M.D.
- Rheumatology Physician
- Boca Raton, FL
National Provider Identifier
1639342124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME109362
- Practice address
- 1050 NW 15TH St
Suite 208a
Boca Raton, FL 33486-1375 - Phone
- (561) 368-2125
- Fax
- (561) 368-4745
- NPI assigned
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME109362 | FL | Primary |
Addresses
Primary practice location
1050 NW 15TH St
Suite 208a
Boca Raton, FL 33486-1375
Mailing address
1050 NW 15TH St
Suite 208a
Boca Raton, FL 33486-1375
Phone (561) 368-2125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194215301 | Medicaid | TX | |
| 8BB483 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.47 of 100
- Quality
- 63.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 78.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pardo, Forstot, Baca, Alboukrek, P.a. | Rheumatology | Past | Accepting new patients |
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.
-
- Rheumatology Physician
- Delray Beach, FL
- NPI 1376646240
Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1639342124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 NW 15TH ST",
"address_2": "SUITE 208A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861375",
"telephone_number": "561-368-2125",
"fax_number": "561-368-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 NW 15TH ST",
"address_2": "SUITE 208A",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861375",
"telephone_number": "561-368-2125",
"fax_number": "561-368-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLRICH",
"first_name": "KOREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME109362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194215301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BB483",
"state": "TX"
}
],
"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 Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.