Individual provider Active NPI

Jeffrey C Wolkowicz, MD

  • Pulmonary Disease Physician
  • Coral Springs, FL
National Provider Identifier
1952315749
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME65668 Issued in FL
Practice address
3100 Coral Hills Dr
Suite 304
Coral Springs, FL 33065-4137
Phone
(954) 341-1007
Fax
(954) 341-1009
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME65668 FL Primary

Addresses

Primary practice location

3100 Coral Hills Dr
Suite 304
Coral Springs, FL 33065-4137

Mailing address

3100 Coral Hills Dr
Suite 304
Coral Springs, FL 33065-4137
Phone (954) 341-1007

Other identifiers 1

IdentifierTypeStateIssuer
375293300MedicaidFL

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
I20120109000788 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789858747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Physicians of South Florida LLCGroup PAC ID 1850360397, 39 clinicians

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (305) 779-7381

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.73 of 100Reported as individual
Quality
85
Promoting interoperability
22
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Physicians of South Florida LLC Pulmonary Disease CurrentSince Dec 1, 2017 Accepting new patients

Locations

3100 Coral Hills Dr
Ste 304
Coral Springs, FL 33065
Phone (954) 341-1007

8600 SW 92nd St
Ste 204A
Miami, FL 33156
Phone (305) 436-9933

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1952315749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-341-1007",
            "fax_number": "954-341-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 304",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-341-1007",
            "fax_number": "954-341-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKOWICZ",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME65668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375293300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.