NPIMap

Individual provider Active NPI

George John Kolettis, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1821198490
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME68398 Issued in FL
Practice address
660 Glades Rd
Suite 460
Boca Raton, FL 33431-6465
Phone
(561) 391-5515
Fax
(561) 347-7470
NPI assigned
Sep 24, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME68398 FL Primary

Addresses

Primary practice location

660 Glades Rd
Suite 460
Boca Raton, FL 33431-6465

Mailing address

660 Glades Rd
Suite 460
Boca Raton, FL 33431-6465
Phone (561) 391-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000143 FL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 6709829781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515

670 Glades Rd
Suite 190
Boca Raton, FL 33431-6463
Phone (561) 395-9985

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Feb 1, 2008 Accepting new patients
Ortho Florida, LLC Specialist CurrentSince Feb 1, 2008 Accepting new patients
Boca Raton Orthopedic Group Inc Specialist Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

670 Glades Rd
Ste 190
Boca Raton, FL 33431
Phone (561) 395-9985

751 Park of Commerce Dr
Ste 112
Boca Raton, FL 33487
Phone (561) 300-1779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1821198490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "SUITE 460",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-391-5515",
            "fax_number": "561-347-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD",
            "address_2": "SUITE 460",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316465",
            "telephone_number": "561-391-5515",
            "fax_number": "561-347-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLETTIS",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.