Individual provider Active NPI

Gennaro Sagliocca, MD

  • Nephrology Physician
  • West Palm Beach, FL
National Provider Identifier
1720037054
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME0053712 Issued in FL
Practice address
2000 Continental Dr
Suite B
West Palm Beach, FL 33407-3207
Phone
(561) 845-2680
Fax
(561) 845-2637
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME0053712 FL Primary

Addresses

Primary practice location

2000 Continental Dr
Suite B
West Palm Beach, FL 33407-3207

Mailing address

2000 Continental Dr
Suite B
West Palm Beach, FL 33407-3207
Phone (561) 845-2680

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
I20120120000288 FL Practitioner - NephrologyPractitioner - Internal Medicine 5294902979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Continental Dr
West Palm Beach, FL 33407-3207
Phone (561) 840-4141

2000 Continental Dr B
West Palm Beach, FL 33407-3207
Phone (561) 845-2680

2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141

Hospital & facility affiliations

  • Continental Dialysis Care Dialysis facility, West Palm Beach, FL, CCN 102747
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0053712FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gennaro Sagliocca, MD, PA Nephrology CurrentSince Jul 11, 1988 Accepting new patients

Locations

2000 Continental Dr
Ste B
West Palm Beach, FL 33407
Phone (561) 744-1295

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1720037054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CONTINENTAL DR",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073207",
            "telephone_number": "561-845-2680",
            "fax_number": "561-845-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CONTINENTAL DR",
            "address_2": "SUITE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073207",
            "telephone_number": "561-845-2680",
            "fax_number": "561-845-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGLIOCCA",
        "first_name": "GENNARO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0053712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.