Organization Active NPI

Metropolitan Health Partners, LLC

  • Nephrology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1851886162
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
METROPOLITAN HEALTH PARTNERS, LLC
Practice address
900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410
Phone
(561) 962-0101
Fax
(855) 287-7646
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Vicki Waterman
Title
Administrator
Phone
(561) 962-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X FL Primary

Addresses

Primary practice location

900 Village Square Xing Ste 250
Palm Beach Gardens, FL 33410

Mailing address

900 Village Square Crossing, Suite 250
Palm Beach Gardens, FL 33410
Phone (561) 962-0101

Other identifiers 1

IdentifierTypeStateIssuer
045840600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190212002886 FL Part B Supplier - Clinic/Group Practice 1153669478 Receives reassigned benefits from 3 practitioners
Practice locations: Palm Beach Gardens, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2154759Metropolitan Health Partners LLC900 Village Square Crossing Ste 250, Palm Beach Gardens, FL 33410Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

900 Village Square Xing
Ste 250
Palm Beach Gardens, FL 33410
Phone (561) 962-0101

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1851886162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE CROSSING, SUITE 250",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-962-0101",
            "fax_number": "561-622-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 250",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-962-0101",
            "fax_number": "855-287-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-962-0101"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045840600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.