Individual provider Active NPI

Eliana Bejarano, MD

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
National Provider Identifier
1902065550
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME101044 Issued in FL
Practice address
3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone
(561) 227-2772
Fax
(561) 209-0154
NPI assigned
Jun 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME101044 FL Primary

Addresses

Primary practice location

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812

Mailing address

3325 Forest Hill Blvd Ste B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080911000507 FL Practitioner - Obstetrics/Gynecology 6709952948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Medical Center PA 9Group PAC ID 8820473754, 4 clinicians

Practice addresses (Care Compare)

3325 Forest Hill Blvd
Suite B
West Palm Beach, FL 33406-5812
Phone (561) 227-2772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101044FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Medical Center PA #9 Obstetrics & Gynecology CurrentSince Nov 15, 2022 Accepting new patients
Soma Medical Center, PA CurrentSince Dec 9, 2021 Accepting new patients
Soma Medical Center, PA CurrentSince Dec 9, 2021 Accepting new patients
Tenet Florida Physician Services LLC Obstetrics & Gynecology PastSince Aug 23, 2020 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

3255 Forest Hill Blvd
#103
West Palm Beach, FL 33406
Phone (561) 964-4577

3325 Forest Hill Blvd
Ste B
West Palm Beach, FL 33406
Phone (561) 227-2772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFIECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JABFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGECD

Organizations & group practices 4

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": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1902065550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-2772",
            "fax_number": "561-209-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJARANO",
        "first_name": "ELIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME101044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.