NPIMap

Individual provider Active NPI

Andrew Scott Raxenberg, D.O.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1841388758
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8999 Issued in FL
Practice address
2015 Ocean Dr Ste 8
Boynton Beach, FL 33426-5131
Phone
(561) 737-4777
Fax
(561) 737-0996
NPI assigned
Oct 10, 2006
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 OS8999 FL Primary

Addresses

Primary practice location

2015 Ocean Dr Ste 8
Boynton Beach, FL 33426-5131

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 678-2652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000329 FL Practitioner - Internal Medicine 2860581493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2015 Ocean Dr
Suite 8
Boynton Beach, FL 33426-5131
Phone (561) 737-4777

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Medical Specialists of the Palm Beaches Inc Internal Medicine Past Accepting new patients

Locations

5401 S Congress Ave
Ste 105
Atlantis, FL 33462
Phone (561) 642-8500

2015 Ocean Dr
Ste 8
Boynton Beach, FL 33426
Phone (561) 737-4777

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

5700 Lake Worth Rd
Ste 204
Greenacres, FL 33463
Phone (561) 966-7707

10115 Forest Hill Blvd
Ste 200
Wellington, FL 33414
Phone (561) 793-5155

3472 Forest Hill Blvd
Ste 2B
West Palm Beach, FL 33406
Phone (561) 964-3440

Interoperability endpoints

  • Direct secure messaging: andrew.raxenberg.1@11933.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1841388758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-678-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR STE 8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-737-4777",
            "fax_number": "561-737-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAXENBERG",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.