Individual provider Active NPI

Alan Barth Pillersdorf, MD

  • Plastic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1750366126
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME57756 Issued in FL
Practice address
4700 N Congress Ave Suite 103
West Palm Beach, FL 33407
Phone
(561) 968-7111
Fax
(561) 968-1800
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME57756 FL Primary

Addresses

Primary practice location

4700 N Congress Ave Suite 103
West Palm Beach, FL 33407

Mailing address

4700 N Congress Ave Suite 103
West Palm Beach, FL 33407
Phone (561) 968-7111

Other identifiers 1

IdentifierTypeStateIssuer
063883800MedicaidFL

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
I20110714000251 FL Practitioner - Plastic and Reconstructive Surgery 0840380051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Georgetown University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery of Palm BeachGroup PAC ID 1355333584, 4 clinicians

Practice addresses (Care Compare)

10115 Forest Hill Blvd
Suite 400
Wellington, FL 33414-3103
Phone (561) 968-7111

4700 N Congress Ave
Suite 103
West Palm Beach, FL 33407-3284
Phone (561) 968-7111

Hospital & facility affiliations

  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision187
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Plastic Surgery of Palm Beach Plastic Surgery CurrentSince Jan 5, 2015 Accepting new patients
West Palm Beach Children'S Surgery Center, LLC PastSince Jun 10, 2015 Accepting new patients

Locations

1620 S Congress Ave
Ste 100
Palm Springs, FL 33461
Phone (561) 291-9839

10115 Forest Hill Blvd
Ste 400
Wellington, FL 33414
Phone (561) 798-1233

4700 N Congress Ave
Ste 103
West Palm Beach, FL 33407
Phone (561) 255-3131

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: apillersdorf20618@jupitermedicalcenter.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1750366126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-968-7111",
            "fax_number": "561-968-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE SUITE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-968-7111",
            "fax_number": "561-968-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLERSDORF",
        "first_name": "ALAN",
        "middle_name": "BARTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME57756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063883800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.