Organization Active NPI

Tumminia Internal Medicine PA

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1740478692
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS7926 Issued in FL
Legal business name
TUMMINIA INTERNAL MEDICINE PA
Practice address
10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723
Phone
(561) 498-8031
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. Louis G TumminiaNPI 1902916117
Title
Pres
Phone
(561) 498-8891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS7926 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723

Mailing address

10301 Hagen Ranch Rd Ste B6
Boynton Beach, FL 33437-3723
Phone (561) 498-8031

Other identifiers 4

IdentifierTypeStateIssuer
K5767OtherFLMEDICARE GROUP PIN
144403OtherFLVYTRA
46792OtherFLBLUE CROSS BLUE SHIELD OF FLA
110247480OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001293 FL Part B Supplier - Clinic/Group Practice 0446236368 Receives reassigned benefits from 6 practitioners
Practice locations: Boynton Beach, FL; Delray Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1008327Tumminia Internal Medicine PA10301 Hagen Ranch Rd Ste B6, Boynton Beach, FL 33437Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Locations

5130 Linton Blvd
Ste E2
Delray Beach, FL 33484
Phone (561) 495-5537

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1740478692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-498-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-498-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMMINIA INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "TUMMINIA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-498-8891",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "K5767",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "144403",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLA",
            "identifier": "46792",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110247480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.