Carl Spirazza, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0005160 Issued in FL

Practice address

10151 Enterprise Ctr Blvd
Suite 106
Boynton Beach, FL 33437-3760

Phone

(561) 734-7400

Fax

(561) 734-7448

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143
• Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
• Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.spirazza.1@31574.direct.athenahealth.com

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.

• Ima of South Florida LLC

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1144271115
  Medicare reassignment Care Compare group NPD
• Bethesda Medical Associates

  • Anesthesiology Physician
  • Boynton Beach, FL
  • NPI 1679735054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital, Inc.

  • General Acute Care Hospital
  • Boynton Beach, FL
  • NPI 1417952748
  Care Compare affiliation
• Careservices of Bethesda LLC

  dba Enhabit Home Health of Bethesda

  • Home Health Agency
  • Boynton Beach, FL
  • NPI 1992759864
  Care Compare affiliation
• Infinity Health Services, Inc.

  dba Activa Home Health

  • Home Health Agency
  • Boynton Beach, FL
  • NPI 1780869982
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1881784833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR BLVD",
            "address_2": "SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-734-7400",
            "fax_number": "561-734-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR BLVD",
            "address_2": "SUITE 106",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-734-7400",
            "fax_number": "561-734-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRAZZA",
        "first_name": "CARL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "230482",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00439656",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "33803A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLA",
            "identifier": "80005",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "205522",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047393600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.