Elevate Wellness 369 LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELEVATE WELLNESS 369 LLC

Practice address

9980 Central Park Blvd N Ste 314
Boca Raton, FL 33428-1704

Phone

(561) 404-1699

Fax

(561) 404-9850

NPI assigned

Mar 25, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Gayatri Siram, MDNPI 1083858476

Title

Owner and Ceo

Phone

(561) 315-0198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gayatri Siram

  • Hospitalist Physician
  • Coral Gables, FL
  • NPI 1083858476

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1649119736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 314",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281704",
            "telephone_number": "561-404-1699",
            "fax_number": "561-404-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 314",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281704",
            "telephone_number": "561-404-1699",
            "fax_number": "561-404-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE WELLNESS 369 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SIRAM",
        "authorized_official_first_name": "GAYATRI",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "561-315-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.