Kevin G McGillicuddy, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2913 Issued in FL

Practice address

800 Meadows Rd
Boca Raton, FL 33486-2304

Phone

(561) 955-7100

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as apm

Quality

81.94

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.mcgillicuddy@hca4.eclinicaldirectplus.com

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.

• Baptist Health Medical Group Physicians LLC

  • Specialist
  • Miami, FL
  • NPI 1891893343
  Medicare reassignment Care Compare group
• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment
• Baptist Outpatient Services Inc

  • Home Infusion Therapy Pharmacy
  • Miami Lakes, FL
  • NPI 1316662299
  NPD (past)
• Thoracic & Cardiovascular Surgeons LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlantis, FL
  • NPI 1649212416
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1669430336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEADOWS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862304",
            "telephone_number": "561-955-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLICUDDY",
        "first_name": "KEVIN",
        "middle_name": "G",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEVIN.MCGILLICUDDY@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "800 Meadows Rd",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334862304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia McEwen, ST
• Dayna Kelly McFarlane
• William H. McFee, MD
• Virginia Lee McGaughran, PHD
• Michele Wakeley McGhee, COTA
• Hanna K McGoey, LMHC
• Sophia Sharkey McGrath
• Axel E McGuffie, DMD
• Cherry Ann McGuire, RPT
• Madison McGuire, PA

• Medical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.