Individual provider Active NPI

Claudia Isabella Tussey, M.D

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1831509710
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME162269 Issued in FL
Practice address
200 Congress Park Dr. Suite 100
West Palm Beach, FL 33401-3429
Phone
(215) 662-8777
NPI assigned
May 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 ME162269 FL Primary

Addresses

Primary practice location

200 Congress Park Dr. Suite 100
West Palm Beach, FL 33401-3429

Mailing address

1515 N Flagler Dr Ste 101
West Palm Beach, FL 33401-3429
Phone (561) 642-1000

Other names 1

  • Claudia Isabella Castillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190207001792 NC Practitioner - Family Practice 4183915416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1515 N Flagler Dr
Suite 101
West Palm Beach, FL 33401-3429

9064 NW 13TH Ter
Doral, FL 33172-2907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162269FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Center CurrentSince Jul 13, 2019 Accepting new patients
United Health Centers CurrentSince Jul 13, 2019 Accepting new patients
District Clinic Holdings Inc Past Accepting new patients

Locations

2101 Peters Creek Pkwy
Ste 16
Winston Salem, NC 27127

3009 Waughtown St
Winston Salem, NC 27107
Phone (336) 293-8728

Interoperability endpoints

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1831509710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N FLAGLER DR STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013429",
            "telephone_number": "561-642-1000",
            "fax_number": "561-804-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONGRESS PARK DR. SUITE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013429",
            "telephone_number": "215-662-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSSEY",
        "first_name": "CLAUDIA",
        "middle_name": "ISABELLA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "CASTILLO",
            "middle_name": "ISABELLA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.