Individual provider Active NPI

Joshua Marc Rycus, D.O.,P.A.

  • Adult Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1730111287
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OS 8863 Issued in FL
Practice address
9750 NW 33Rd St
Suite # 114
Coral Springs, FL 33065-4042
Phone
(954) 753-1477
Fax
(954) 753-3626
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS 8863 FL Primary

Addresses

Primary practice location

9750 NW 33Rd St
Suite # 114
Coral Springs, FL 33065-4042

Mailing address

9750 NW 33Rd St
Suite # 114
Coral Springs, FL 33065-4042
Phone (954) 753-1477

Other identifiers 7

IdentifierTypeStateIssuer
1047954OtherFLCAREPLUS
1758777OtherFLCIGNA PROVIDER #
48268OtherFLBC/BS PROVIDER #
0101381OtherFLUNITED HEALTH PROVIDER #
269335600MedicaidFL
295499OtherFLAVMED PROVIDER #
50806OtherFLNEIGHBORHOOD PROVIDER#

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
I20040823001334 FL Practitioner - Family Practice 5799759031 Practice locations: Coral Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Memphis Hospital Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9750 NW 33Rd St
Suite 114
Coral Springs, FL 33065-4000
Phone (954) 753-1477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
OS 8863FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Coral Springs P a PastSince May 23, 2010 Accepting new patients
Joshua Rycus DO Adult Medicine PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

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": "1545264000000",
    "number": "1730111287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "SUITE # 114",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-753-1477",
            "fax_number": "954-753-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST",
            "address_2": "SUITE # 114",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654042",
            "telephone_number": "954-753-1477",
            "fax_number": "954-753-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYCUS",
        "first_name": "JOSHUA",
        "middle_name": "MARC",
        "credential": "D.O.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS 8863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1047954",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "1758777",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "48268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PROVIDER #",
            "identifier": "0101381",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269335600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PROVIDER #",
            "identifier": "295499",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD PROVIDER#",
            "identifier": "50806",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.