Individual provider Active NPI

Mitchell Alan Perelman, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1831173566
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0063015 Issued in FL
Practice address
10817 S. Jog Road
Suite 230
Boynton Beach, FL 33437
Phone
(561) 634-8888
Fax
(561) 634-8889
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0063015 FL Primary

Addresses

Primary practice location

10817 S. Jog Road
Suite 230
Boynton Beach, FL 33437

Mailing address

10817 S. Jog Rd.
Suite 230
Boynton BCH, FL 33437
Phone (561) 634-8888

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
I20100301000234 FL Practitioner - Internal Medicine 5890830988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Medical Group of West Boynton LLCGroup PAC ID 7012059066, 5 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

10817 S Jog Rd
Suite 230
Boynton Beach, FL 33437-0912
Phone (561) 634-8888

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

Hospital & facility affiliations

  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0063015FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Medical Group of West Boynton LLC Internal Medicine CurrentSince Sep 1, 2009 Accepting new patients

Locations

10817 S Jog Rd
Ste 230
Boynton Beach, FL 33437
Phone (561) 634-8888

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1831173566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 S. JOG RD.",
            "address_2": "SUITE 230",
            "city": "BOYNTON BCH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-634-8888",
            "fax_number": "561-634-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 S. JOG ROAD",
            "address_2": "SUITE 230",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-634-8888",
            "fax_number": "561-634-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELMAN",
        "first_name": "MITCHELL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0063015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.