Individual provider Active NPI

Julie Konowitz Sirkin, MD

  • Pediatrics Physician
  • Boynton Beach, FL
National Provider Identifier
1821186230
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
84037 Issued in FL
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

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7539386OtherFLAETNA
15675OtherFLBLUE CROSS BLUE SHIELD
263544500MedicaidFL
8159487004OtherFLCIGNA
SG033359OtherFLVISTA
000004206965OtherFLHEALTHY PALM BEACHES
041634OtherFLNHP
21221016506OtherFLBEECHSTREET
284509OtherFLAVMED
176914OtherFLSFCN
244824OtherFLWELLCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
84037FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Pediatric Group Pediatrics PastSince May 1, 2022 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.

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.

Verify at the official NPI Registry.