NPIMap

Individual provider Active NPI

Ramprasad Gopalan, MD

  • Infectious Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1841393303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0087297 Issued in FL
Practice address
2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Phone
(561) 735-7531
Fax
(561) 742-8250
NPI assigned
Sep 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Infectious Disease Physician 207RI0200X ME0087297 FL Primary

Addresses

Primary practice location

2300 South Congress Ave Ste 100
Boynton Beach, FL 33426

Mailing address

2300 South Congress Ave Ste 100
Boynton Beach, FL 33426
Phone (561) 735-7531

Other identifiers 3

IdentifierTypeStateIssuer
267466100MedicaidFL
7379565OtherFLAETNA
37563OtherFLBLUE CROSS

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
I20040414001992 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1759376304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palm Beach Acute Care Consultants, LLCGroup PAC ID 0143640938, 7 clinicians

Practice addresses (Care Compare)

227 Professional Way
Wellington, FL 33414-6392
Phone (561) 318-8440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087297FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc Infectious Disease CurrentSince Oct 1, 2003 Accepting new patients
Palm Beach Acute Care Consultants, LLC Infectious Disease CurrentSince Jan 1, 2022 Accepting new patients
Suzanne Y Succop MD PA Infectious Disease Past Accepting new patients

Locations

2300 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 735-4829

227 Professional Way
Wellington, FL 33414
Phone (561) 318-8440

227 Professional Way
Ste 100
Wellington, FL 33414
Phone (561) 318-8440

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 7

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841393303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SOUTH CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SOUTH CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAN",
        "first_name": "RAMPRASAD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0087297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267466100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7379565",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "37563",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.