Dimiter Hristov, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0075815 Issued in FL

Practice address

1030 Bimini LN
Riviera Beach, FL 33404-2704

Phone

(561) 840-0494

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General PracticeAlso: Critical Care (Intensivists)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palm Beach Trauma AssociatesGroup PAC ID 8628311750, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Medical Center Hospital, West Palm Beach, FL, CCN 100288

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palm Beach Trauma Associates

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1659410652
  Medicare reassignment Care Compare group NPD
• Dimiter B Hristov, M.D.,P.a.

  • Surgery Physician
  • Riviera Beach, FL
  • NPI 1376881961
  Medicare reassignment Authorized official
• Southeast University Physicians PLLC

  • Surgical Critical Care Physician
  • Palm Beach Gardens, FL
  • NPI 1710444583

  Surgery

  Medicare reassignment NPD
• Tzonka Hristov MD PA

  • Anesthesiology Physician
  • Riviera Beach, FL
  • NPI 1417156001
  NPD (past)

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

• St. Mary's Medical Center, Inc

  dba St. Mary's Medical Center

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659384600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BIMINI LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042704",
            "telephone_number": "561-840-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BIMINI LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042704",
            "telephone_number": "561-840-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRISTOV",
        "first_name": "DIMITER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0075815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255397000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Houle, MSW
• Tami L Houser, PHARM.D.
• Housing Partnership, Inc. (Community Partners of South Florida)
• Housing Partnership, Inc. (Community Partners of South Florida)
• Kavay Hope Elizabeth Howell
• Diana Huambachano
• Jessica Hughes, LPN, AROMATHERAPIST
• Kaitlyn Hulka
• Wayne W Huntington, CRNA
• Melinda Hurtado Hurtado, MS

• Surgery Physician in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.