Seba Lee Krumholtz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME56266 Issued in FL

Practice address

1905 Clint Moore Rd
Suite 201
Boca Raton, FL 33496-2658

Phone

(561) 994-5454

NPI assigned

Jan 26, 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

Other identifiers 2

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

Internal Medicine

Education

Icahn School of Medicine at Mount Sinai, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boca Raton Physicians PAGroup PAC ID 3678676517, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seba.krumholtz@brp1905.directbygreenway.com
• Direct secure messaging: seba.krumholtz@brp.direct.emedrec.us
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73774

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.

• Boca Raton Physicians PA

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1093728214
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1669442968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-994-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-994-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMHOLTZ",
        "first_name": "SEBA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "08941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00413514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Kronzek, PA-C
• L Jerome Krovetz, MD PHD
• KRS Global Bio Technology Inc
• Ralph Krugler
• Ann Marie Krul, PA
• Jodi Krumholz
• Liliana Berta Kruszel, LMHC
• Bernadette Krutchik
• Pavel A Krykhtin, D.D.S
• Carolyn Kubiak, D.O.

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.