Active NPI
Julie Konowitz Sirkin, MD
- Pediatrics Physician
- Boynton Beach, FL
National Provider Identifier
1821186230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 84037
- Practice address
- 9868 S State Road 7 Ste 305
Boynton Beach, FL 33472-4475 - Phone
- (561) 369-0111
- Fax
- (561) 369-4003
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 84037 | FL | Primary |
Addresses
Primary practice location
9868 S State Road 7 Ste 305
Boynton Beach, FL 33472-4475
Mailing address
160 JFK Dr Ste 101
Atlantis, FL 33462-6638
Phone (561) 964-1215
Other practice location 1
160 JFK Dr Ste 101
Atlantis, FL 33462-6638
Phone (561) 964-1215
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7539386 | Other | FL | AETNA |
| 15675 | Other | FL | BLUE CROSS BLUE SHIELD |
| 263544500 | Medicaid | FL | |
| 8159487004 | Other | FL | CIGNA |
| SG033359 | Other | FL | VISTA |
| 000004206965 | Other | FL | HEALTHY PALM BEACHES |
| 041634 | Other | FL | NHP |
| 21221016506 | Other | FL | BEECHSTREET |
| 284509 | Other | FL | AVMED |
| 176914 | Other | FL | SFCN |
| 244824 | Other | FL | WELLCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juliekonowitzsirkin@direct.practicefusion.com | J.F.K. Pediatrics Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84037 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Pediatric Group | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Boca Raton, FL
- NPI 1154402097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1821186230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 JFK DR STE 101",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626638",
"telephone_number": "561-964-1215",
"fax_number": "561-964-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9868 S STATE ROAD 7 STE 305",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334724475",
"telephone_number": "561-369-0111",
"fax_number": "561-369-4003"
}
],
"practiceLocations": [
{
"address_1": "160 JFK Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "334626638",
"country_code": "US",
"telephone_number": "561-964-1215",
"fax_number": "561-964-1245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONOWITZ SIRKIN",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "84037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7539386",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "15675",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263544500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8159487004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA",
"identifier": "SG033359",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY PALM BEACHES",
"identifier": "000004206965",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "041634",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "21221016506",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "284509",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFCN",
"identifier": "176914",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "244824",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "juliekonowitzsirkin@direct.practicefusion.com",
"affiliation": "Y",
"affiliationName": "J.F.K. Pediatrics Inc.",
"address_1": "160 JFK Dr Ste 101",
"city": "Atlantis",
"state": "FL",
"country_code": "US",
"postal_code": "334626638",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.