Individual provider Active NPI

Jeffrey Wilson, M.D

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1700317153
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME158238 Issued in FL
Practice address
2815 S Seacrest Blvd Ste 100
Boynton Beach, FL 33435-7969
Phone
(561) 292-4949
Fax
(561) 292-4612
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Internal Medicine Physician 207R00000X ME158238 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd Ste 100
Boynton Beach, FL 33435-7969

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805002997 FL Practitioner - Internal Medicine 7315289386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Florida Atlantic University, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Phone (561) 737-7733

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Bocacare Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2815 S Seacrest Blvd
Ste 100
Boynton Beach, FL 33435
Phone (561) 292-4949

Interoperability endpoints

  • Direct secure messaging: jeffrey.wilson.1@26289.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1700317153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-292-4949",
            "fax_number": "561-292-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JEFFREY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME158238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.