Individual provider Active NPI

Kelli Ann Saifman, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1639620826
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109851 Issued in FL
Practice address
9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone
(561) 622-2442
NPI assigned
Oct 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109851 FL Primary

Addresses

Primary practice location

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972

Mailing address

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101000757 FL Practitioner - Physician Assistant 4880960137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1697 W Indiantown Rd
Jupiter, FL 33458-3979
Phone (561) 420-8555

2534 Pga Blvd
Palm Beach Gardens, FL 33410-2902
Phone (561) 295-8822

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

5240 Donald Ross Rd
Palm Beach Gardens, FL 33418-7258
Phone (561) 786-5887

9060 N Military TRL
Palm Beach Gardens, FL 33410-5972
Phone (561) 622-2442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Oct 4, 2018 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Oct 4, 2018 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Sep 25, 2017 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Oct 4, 2018 Accepting new patients
MD Now Medical Centers Inc CurrentSince Jan 15, 2024 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

4520 Donald Ross Rd
Ste 100
Palm Beach Gardens, FL 33418
Phone (561) 776-3090

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

625 N Flagler Dr
Ste 100
West Palm Beach, FL 33401
Phone (561) 263-7010

9060 N Military Trl
West Palm Beach, FL 33410
Phone (561) 295-8822

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

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": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1639620826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 N MILITARY TRL",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105972",
            "telephone_number": "561-622-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 N MILITARY TRL",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105972",
            "telephone_number": "561-622-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAIFMAN",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.