Individual provider Active NPI

Alex Mafdali, MD

  • Sports Medicine (Family Medicine) Physician
  • Deerfield Beach, FL
National Provider Identifier
1942760947
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME157868 Issued in FL
Practice address
3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423
Phone
(561) 955-4600
Fax
(833) 625-1609
NPI assigned
Mar 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME157868 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423

Mailing address

3313 W Hillsboro Blvd Ste 202
Deerfield Beach, FL 33442-9423
Phone (954) 571-9500

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
I20230801003470 FL Practitioner - Sports Medicine 5193055275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

745 Meadows Rd
Suite 100
Boca Raton, FL 33486-2324
Phone (561) 955-6784

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157868FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Aug 1, 2023 Accepting new patients
Bocacare Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

745 Meadows Rd
Ste 100
Boca Raton, FL 33486
Phone (561) 955-6784

3313 W Hillsboro Blvd
Ste 202
Deerfield Beach, FL 33442
Phone (561) 955-4600

3313 W Hillsboro Blvd
Ste 100
Deerfield Beach, FL 33442
Phone (561) 955-4600

Interoperability endpoints

  • Direct secure messaging: alex.mafdali.1@26289.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 3

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1942760947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "954-571-9500",
            "fax_number": "833-625-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 W HILLSBORO BLVD STE 202",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429423",
            "telephone_number": "561-955-4600",
            "fax_number": "833-625-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFDALI",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME157868",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.