Active NPI
James Ghattas, DO
- Neurology Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS18132
- Practice address
- 580 Village Blvd Ste 270
West Palm Beach, FL 33409-1951 - Phone
- (954) 822-0543
- Fax
- (954) 836-7644
- NPI assigned
- Jun 2, 2016
- Last updated
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | THDO00018 | AZ | |
| Interventional Pain Medicine Physician | 208VP0014X | OS18132 | FL | |
| Neurology Physician | 2084N0400X | OS18132 | FL | Primary |
Addresses
Primary practice location
580 Village Blvd Ste 270
West Palm Beach, FL 33409-1951
Mailing address
580 Village Blvd Ste 270
West Palm Beach, FL 33409-1951
Phone (954) 822-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114274800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamesghattas@regenexxflorida.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 E Redstone Ave
Crestview, FL 32539-5352
Phone (561) 299-3667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| THDO00018 | AZ | MD | Neurology Physician |
| OS18132 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ICU NJ, PC | Current | Accepting new patients | |
| Nuview Health Indiana PC | Current | Accepting new patients | |
| Nuview Telehealth, LLC | Neurology | Current | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
865 Stone St
Rahway, NJ 07065
Phone (732) 381-4000
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1215496336
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1730537572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 VILLAGE BLVD STE 270",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091951",
"telephone_number": "954-822-0543",
"fax_number": "954-836-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 VILLAGE BLVD STE 270",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091951",
"telephone_number": "954-822-0543",
"fax_number": "954-836-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHATTAS",
"first_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "THDO00018",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "OS18132",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "OS18132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114274800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamesghattas@regenexxflorida.com",
"affiliation": "N",
"endpointDescription": "Practice Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "580 Village Blvd Ste 270",
"city": "West Palm Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334091951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.