Individual provider Active NPI

Angelo Nicholas Incorvaia, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Boynton Beach, FL
National Provider Identifier
1831255934
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME 98153 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste A750
Boynton Beach, FL 33437-3725
Phone
(561) 374-7372
Fax
(561) 374-8646
NPI assigned
Dec 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 60-242078 NY
Surgery of the Hand (Surgery) Physician 2086S0105X 60-242078 NY
Surgery of the Hand (Surgery) Physician 2086S0105X ME 98153 FL Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 25MA08224900 NJ

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste A750
Boynton Beach, FL 33437-3725

Mailing address

10301 Hagen Ranch Rd
Suite A750
Boynton Beach, FL 33437
Phone (561) 374-7372

Other identifiers 1

IdentifierTypeStateIssuer
01367OtherFLBLUE CROSS BLUE SHIELD

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
I20080102000653 FL Practitioner - Hand Surgery 5193805257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3725
Phone (561) 374-7372

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)100
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 98153FLMDSurgery of the Hand (Surgery) Physician
25MA08224900NJMDSurgery of the Hand (Surgery) Physician
60-242078NYMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand & Wrist Institute of Palm Beach PL Surgery of the Hand CurrentSince Dec 7, 2009 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste A750
Boynton Beach, FL 33437
Phone (561) 374-7372

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHDHCA/Endpoint/AHDHCA

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.

Hospital & facility affiliations 2

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1831255934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD",
            "address_2": "SUITE A750",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33437",
            "telephone_number": "561-374-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE A750",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373725",
            "telephone_number": "561-374-7372",
            "fax_number": "561-374-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCORVAIA",
        "first_name": "ANGELO",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-31",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "60-242078",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "60-242078",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME 98153",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA08224900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01367",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.