NPIMap

Individual provider Active NPI

Charles Larry Gelfman, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1720010911
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME46432 Issued in FL
Practice address
1905 Clint Moore Road
Suite 201
Boca Raton, FL 33496-2660
Phone
(561) 994-5454
Fax
(561) 994-3943
NPI assigned
Jul 7, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME46432 FL Primary

Addresses

Primary practice location

1905 Clint Moore Road
Suite 201
Boca Raton, FL 33496-2660

Mailing address

1905 Clint Moore Road
Suite 201
Boca Raton, FL 33496-2660
Phone (561) 994-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201001065 FL Practitioner - Internal Medicine 6800082801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
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)

1905 Clint Moore Rd
Suite 201
Boca Raton, FL 33496-2660
Phone (561) 994-5454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME46432FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Physicians PA Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 201
Boca Raton, FL 33496
Phone (561) 994-5454

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

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1720010911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE ROAD",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-994-5454",
            "fax_number": "561-994-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE ROAD",
            "address_2": "SUITE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-994-5454",
            "fax_number": "561-994-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFMAN",
        "first_name": "CHARLES",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.