Individual provider Active NPI

David Wisa, MD

  • Pulmonary Disease Physician
  • Boca Raton, FL
National Provider Identifier
1760773246
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME164867 Issued in FL
Practice address
1601 Clint Moore Rd Ste 100
Boca Raton, FL 33487-5712
Phone
(561) 939-0200
Fax
(561) 939-0274
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME164867 FL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME164867 FL

Addresses

Primary practice location

1601 Clint Moore Rd Ste 100
Boca Raton, FL 33487-5712

Mailing address

8533 Swinley Forest Way
Boca Raton, FL 33434-5868
Phone (585) 820-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251129000132 FL Practitioner - Pulmonary Disease 2466682877 Reassigns benefits to 1 organization
I20251212001715 FL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2466682877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Sleep Associates of South Florida PAGroup PAC ID 5890883516, 9 clinicians
Critical Care Associates of South Florida LLCGroup PAC ID 4789871088, 20 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 100
Boca Raton, FL 33487-5712
Phone (561) 939-0200

800 Meadows Rd
Boca Raton, FL 33486-2368
Phone (561) 955-7100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME164867FLMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Associates of South Florida LLC Critical Care Medicine CurrentSince Oct 1, 2025 Accepting new patients
Pulmonary & Sleep Associates of South Florida PA Pulmonary Disease CurrentSince Nov 1, 2025 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1601 Clint Moore Rd
Ste 100
Boca Raton, FL 33487
Phone (561) 939-0200

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1760773246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8533 SWINLEY FOREST WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345868",
            "telephone_number": "585-820-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "561-939-0200",
            "fax_number": "561-939-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISA",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME164867",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME164867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.