Individual provider Active NPI

Dov A Pickholtz, D.O.

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1649408493
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS12425 Issued in FL
Practice address
5341 W Atlantic Ave
Suite 301
Delray Beach, FL 33484-8167
Phone
(561) 450-9933
Fax
(561) 450-9934
NPI assigned
Jun 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS12425 FL Primary

Addresses

Primary practice location

5341 W Atlantic Ave
Suite 301
Delray Beach, FL 33484-8167

Mailing address

5341 W Atlantic Ave
Suite 301
Delray Beach, FL 33484-8167
Phone (561) 450-9933

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
I20141114001012 FL Practitioner - Internal Medicine 0648400416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 115
Boca Raton, FL 33487-5712
Phone (561) 997-8484

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

  • All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12425FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Hospitalist Group Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Ima of South Florida LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Sia - Specialty Infusion LLC Internal Medicine CurrentSince Apr 20, 2021 Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2200 Glades Rd
Ste 304
Boca Raton, FL 33431
Phone (561) 955-7079

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

5341 Atlantic Ave
Ste 301
Delray Beach, FL 33484
Phone (305) 807-8089

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22712/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dov.pickholtz.1@31574.direct.athenahealth.com
  • Direct secure messaging: dov.pickholtz.1@22712.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1649408493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE",
            "address_2": "SUITE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848167",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W ATLANTIC AVE",
            "address_2": "SUITE 301",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848167",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKHOLTZ",
        "first_name": "DOV",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.