Individual provider Active NPI

Nabil Karroum, M.D.

  • Psychiatry Physician
  • Wellington, FL
National Provider Identifier
1710972468
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0059623 Issued in FL
Practice address
10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414
Phone
(561) 790-6414
Fax
(561) 204-2721
NPI assigned
Sep 19, 2005
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0059623 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME0059623 FL

Addresses

Primary practice location

10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414

Mailing address

10111 W Forest Hill Blvd
Suite 369
Wellington, FL 33414-6108
Phone (561) 204-2771

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
I20040831001545 FL Practitioner - Psychiatry 1254306392 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0059623FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boynton Beach Florida Behavioral Health Hospital Company, LLC CurrentSince Nov 1, 2023 Accepting new patients
901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

4905 Park Ridge Blvd
Boynton Beach, FL 33426
Phone (561) 299-4164

993 45th St
Mangonia Park, FL 33407
Phone (561) 257-3348

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1710972468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "SUITE 369",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146108",
            "telephone_number": "561-204-2771",
            "fax_number": "561-204-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 W FOREST HILL BLVD",
            "address_2": "SUITE 369",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-790-6414",
            "fax_number": "561-204-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARROUM",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0059623",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0059623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.