NPIMap

Individual provider Active NPI

Daniel E Fortier, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1932173390
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71381 Issued in FL
Practice address
1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302
Phone
(561) 659-7411
Fax
(561) 659-7423
NPI assigned
Feb 14, 2006
Last updated
Sep 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME71381 FL
Internal Medicine Physician 207R00000X ME71381 FL Primary

Addresses

Primary practice location

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302

Mailing address

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302
Phone (561) 659-7411

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
I20080801000627 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 6103990585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
Flagler Medical Associates PAGroup PAC ID 5799772596, 9 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2302
Phone (561) 659-7411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME71381FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Medical Associates PA Internal Medicine CurrentSince Apr 30, 2001 Accepting new patients
Harbor Palliative Care Services, Inc. Internal Medicine CurrentSince Jun 30, 2012 Accepting new patients

Locations

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1552 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 659-7411

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

Interoperability endpoints

  • Direct secure messaging: dfortier19806@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIFIBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Carmelite SystemWest Palm Beach, FL, CCN 105420 Skilled nursing facility Adp of the SNF Jun 17, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 8

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1932173390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012302",
            "telephone_number": "561-659-7411",
            "fax_number": "561-659-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012302",
            "telephone_number": "561-659-7411",
            "fax_number": "561-659-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME71381",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.