Individual provider Active NPI

John M Limperis

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1831204353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75897 Issued in FL
Practice address
1124 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone
(954) 567-1006
Fax
(954) 566-9270
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME75897 FL Primary

Addresses

Primary practice location

1124 Bayview Dr
Ft Lauderdale, FL 33304-2505

Mailing address

1124 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone (954) 567-1006

Other identifiers 1

IdentifierTypeStateIssuer
255079200MedicaidFL

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
I20081030000729 FL Practitioner - Internal Medicine 6901965383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

Hospital & facility affiliations

  • All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75897FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Aug 1, 1998 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Aug 1, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holy Cross Hospital Inc Past Accepting new patients
Holy Cross Hospital, Inc Past Accepting new patients

Locations

1309 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1124 Bayview Dr
Ft Lauderdale, FL 33304
Phone (954) 567-1006

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

Interoperability endpoints

  • Direct secure messaging: jlimperis2023531@direct.trinity-health.org

Organizations & group practices 5

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 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831204353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-567-1006",
            "fax_number": "954-566-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-567-1006",
            "fax_number": "954-566-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMPERIS",
        "first_name": "JOHN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255079200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.