Organization Active NPI

Inspired Medical PA

  • Family Medicine Physician
  • Wellington, FL
National Provider Identifier
1679975007
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME115763 Issued in FL
Legal business name
INSPIRED MEDICAL PA
Practice address
10443 Trianon PL
Wellington, FL 33449-8075
Phone
(832) 390-9210
Fax
(561) 828-3190
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Michael Girgis, M.D.NPI 1457371627
Title
President/Physician
Phone
(832) 390-9210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME115763 FL Primary

Addresses

Primary practice location

10443 Trianon PL
Wellington, FL 33449-8075

Mailing address

10443 Trianon PL
Wellington, FL 33449-8075
Phone (832) 390-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170411001074 FL Part B Supplier - Clinic/Group Practice 0648593483 Receives reassigned benefits from 4 practitioners
Practice locations: Jupiter, FL; Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1679975007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10443 TRIANON PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498075",
            "telephone_number": "832-390-9210",
            "fax_number": "561-828-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10443 TRIANON PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498075",
            "telephone_number": "832-390-9210",
            "fax_number": "561-828-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "832-390-9210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME115763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.