Active NPI
Kanwal Bawa, DO
- Emergency Medicine Physician
- Boca Raton, FL
National Provider Identifier
1649477134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.009603
- Practice address
- 7000 Camino Real Ste 200
Boca Raton, FL 33433-5532 - Phone
- (561) 453-2020
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.009603 | OH | Primary |
| Emergency Medicine Physician | 207P00000X | OS11373 | FL |
Addresses
Primary practice location
7000 Camino Real Ste 200
Boca Raton, FL 33433-5532
Mailing address
9945 Equus Cir
Boynton Beach, FL 33472-4319
Phone (954) 240-6315
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11373 | FL | MD | Emergency Medicine Physician |
| 34.009603 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Ohio Em-I Medical Services, Professional Association | Past | Accepting new patients | |
| Erie Banks Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411
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.
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1801105366
-
- Physician Assistant
- Willoughby, OH
- NPI 1033429808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1649477134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9945 EQUUS CIR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334724319",
"telephone_number": "954-240-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 CAMINO REAL STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335532",
"telephone_number": "561-453-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWA",
"first_name": "KANWAL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.009603",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS11373",
"primary": false
}
],
"identifiers": [],
"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 May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.