Individual provider Active NPI

Kurt L Wiese, M.D

  • Infectious Disease Physician
  • Boca Raton, FL
National Provider Identifier
1942383096
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0061675 Issued in FL
Practice address
2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362
Phone
(561) 496-1095
Fax
(561) 948-4473
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME0061675 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362

Mailing address

2900 N Military TRL Ste 243
Boca Raton, FL 33431-6362
Phone (561) 496-1095

Other identifiers 1

IdentifierTypeStateIssuer
ME0061675OtherFLMEDICAL LICENSE NUMBER

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
I20080916000055 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 6406923523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Associates PAGroup PAC ID 2466441399, 7 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 243
Boca Raton, FL 33431-6362
Phone (561) 393-8224

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0061675FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates PA Infectious Disease CurrentSince Oct 12, 1987 Accepting new patients
Patrick G Fairchild MD PA Infectious Disease Past Accepting new patients

Locations

1050 NW 15th St
Ste 205
Boca Raton, FL 33486
Phone (561) 393-8224

2900 N Military Trl
Ste 243
Boca Raton, FL 33431
Phone (561) 393-8224

Interoperability endpoints

  • Direct secure messaging: kurt.wiese.1@30575.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1942383096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316362",
            "telephone_number": "561-496-1095",
            "fax_number": "561-948-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316362",
            "telephone_number": "561-496-1095",
            "fax_number": "561-948-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "KURT",
        "middle_name": "L",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0061675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME0061675",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.