Individual provider Active NPI

Andre Celestin III, MD

  • General Practice Physician
  • West Palm Beach, FL
National Provider Identifier
1649230202
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME83638 Issued in FL
Practice address
4698 Forest Hill Blvd
Suite B
West Palm Beach, FL 33415-5719
Phone
(561) 969-3435
Fax
(561) 969-3107
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME83638 FL Primary

Addresses

Primary practice location

4698 Forest Hill Blvd
Suite B
West Palm Beach, FL 33415-5719

Mailing address

4698 Forest Hill Blvd
Suite B
West Palm Beach, FL 33415-5719
Phone (561) 969-3435

Other identifiers 1

IdentifierTypeStateIssuer
263311602MedicaidFL

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
I20121206000408 FL Practitioner - General PracticePractitioner - Internal Medicine 5799936662

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4698 -B Forest Hill Blvd
West Palm Beach, FL 33415-5719

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649230202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4698 FOREST HILL BLVD",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155719",
            "telephone_number": "561-969-3435",
            "fax_number": "561-969-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4698 FOREST HILL BLVD",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155719",
            "telephone_number": "561-969-3435",
            "fax_number": "561-969-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTIN",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME83638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263311602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.