Individual provider Active NPI

Judith Philius Alcime, M.D

  • Family Medicine Physician
  • Lantana, FL
National Provider Identifier
1821452897
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME150993 Issued in FL
Practice address
111 Moorings Dr
Lantana, FL 33462-8019
Phone
(954) 816-9915
Fax
(561) 202-6778
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME150993 FL Primary

Addresses

Primary practice location

111 Moorings Dr
Lantana, FL 33462-8019

Mailing address

111 Moorings Dr
Lantana, FL 33462-8019
Phone (954) 816-9915

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
I20211025001160 FL Practitioner - Internal Medicine 8022406016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Moorings Dr
Lantana, FL 33462-8019
Phone (954) 816-9915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150993FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JP Family Medical Ctr Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Caps Medical Management LLC PastSince Dec 1, 2021 Accepting new patients
Cary M Zinkin DPM, PA PastSince Dec 1, 2021 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

111 Moorings Dr
Lantana, FL 33462
Phone (561) 502-4608

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

321 W Atlantic Blvd
Ste 102
Pompano Beach, FL 33060
Phone (954) 781-3122

Organizations & group practices 4

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1821452897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MOORINGS DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334628019",
            "telephone_number": "954-816-9915",
            "fax_number": "561-202-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MOORINGS DR",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334628019",
            "telephone_number": "954-816-9915",
            "fax_number": "561-202-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIUS ALCIME",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME150993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.