Individual provider Active NPI

Georges F. Hatoum, M.D.

  • Radiation Oncology Physician
  • Lake Worth, FL
National Provider Identifier
1831298421
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME96951 Issued in FL
Practice address
4685 South Congress Ave
JFK Comprehensive Cancer Institute
Lake Worth, FL 33461
Phone
(561) 548-2662
Fax
(561) 548-1633
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME96951 FL Primary

Addresses

Primary practice location

4685 South Congress Ave
JFK Comprehensive Cancer Institute
Lake Worth, FL 33461

Mailing address

4685 South Congress Ave
JFK Comprehensive Cancer Institute
Lake Worth, FL 33461
Phone (561) 548-2662

Other identifiers 1

IdentifierTypeStateIssuer
276708200MedicaidFL

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
I20070308000604 FL Practitioner - Radiation Oncology 3971597303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Radiation Oncology, LLCGroup PAC ID 4688913494, 2 clinicians

Practice addresses (Care Compare)

4685 S Congress Ave
Palm Springs, FL 33461-4761
Phone (561) 548-2662

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96951FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JFK Internal Medicine Faculty Practice, LLC CurrentSince Oct 26, 2010 Accepting new patients
Albany Radiation Oncology Associates LLC Radiation Oncology Past Accepting new patients

Locations

7867 SW 88th St
Ste 105
Miami, FL 33156
Phone (305) 279-2900

4685 S Congress Ave
Palm Springs, FL 33461
Phone (561) 548-2662

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: georges.hatoum@hca4.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1831298421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 SOUTH CONGRESS AVE",
            "address_2": "JFK COMPREHENSIVE CANCER INSTITUTE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-548-2662",
            "fax_number": "561-548-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 SOUTH CONGRESS AVE",
            "address_2": "JFK COMPREHENSIVE CANCER INSTITUTE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33461",
            "telephone_number": "561-548-2662",
            "fax_number": "561-548-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATOUM",
        "first_name": "GEORGES",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME96951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276708200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.