Individual provider Active NPI

David S Rondon, MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1932160033
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME052020 Issued in FL
Practice address
11211 Prosperity Farms Rd Ste 127
Palm Beach Gardens, FL 33410-3449
Phone
(561) 694-8945
Fax
(561) 694-8688
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME052020 FL Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd Ste 127
Palm Beach Gardens, FL 33410-3449

Mailing address

11211 Prosperity Farms Rd Ste 127
Palm Beach Gardens, FL 33410-3449
Phone (561) 694-8945

Other practice location 1

601 University Blvd
Suite 104
Jupiter, FL 33458-2788
Phone (561) 694-8945

Other identifiers 1

IdentifierTypeStateIssuer
047520300MedicaidFL

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
I20040807000051 FL Practitioner - Orthopedic Surgery 8123090594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians
Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

3335 Burns Rd
Suite 100
Palm Beach Gardens, FL 33410-4311
Phone (561) 537-4526

7100 Fairway Dr
Suite 42
Palm Beach Gardens, FL 33418-3778
Phone (561) 775-7775

Merit-based Incentive Payment System (MIPS)

Final score
29.16 of 100Reported as group
Quality
0
Promoting interoperability
59
Improvement activities
0
Cost
48.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME052020FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Current Accepting new patients
Royal Palm Beach Rehab, Corp Sports Medicine CurrentSince Jan 1, 2023 Accepting new patients
Royal Palm Beach Rehab, Corp CurrentSince Jan 1, 2023 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

6415 Lake Worth Rd
Ste 302
Greenacres, FL 33463

3335 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 363-4455

3345 Burns Rd
Ste 202
Palm Beach Gardens, FL 33410
Phone (561) 366-6777

3335 Burns Rd
Ste 300
Palm Beach Gardens, FL 33410

1049 S State Road 7
Wellington, FL 33414
Phone (561) 363-4455

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: drondon20728@jupitermedicalcenter.direct-ci.com

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1932160033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE 127",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103449",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD STE 127",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103449",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Blvd",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582788",
            "country_code": "US",
            "telephone_number": "561-694-8945",
            "fax_number": "561-694-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDON",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME052020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047520300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.