Ernesto Fidel Porras Polo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME94761 Issued in FL

Practice address

16244 S Military TRL
Suite 470
Delray Beach, FL 33484-6534

Phone

(561) 865-5151

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatrics of Boca Delray PAGroup PAC ID 8123119666, 4 clinicians

Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Geriatrics of Boca Delray PA

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1073732475
  Medicare reassignment Care Compare group NPD
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Medicare reassignment Care Compare group NPD
• Florida Hospital Medicine Services, LLC.

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1508873183
  Medicare reassignment NPD
• Northeast Florida Hospitalists Inc

  • Hospitalist Physician
  • Delray Beach, FL
  • NPI 1013036219
  Medicare reassignment NPD
• West Boca Physicians Group Inc

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1255529186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1952332652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NW LAKE WHITNEY PL",
            "address_2": "STE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861618",
            "telephone_number": "772-344-7228",
            "fax_number": "772-344-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "address_2": "SUITE 470",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-865-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS POLO",
        "first_name": "ERNESTO",
        "middle_name": "FIDEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Pond, AP, LAC
• Karen M Ponder, LCSW
• Jessica Ponn, LCSW
• Christopher Pope
• Carla Porges
• Anthony Gabriel Portugal, CRNA
• Kristina Porzenheim
• Cary Posar, MD
• Positive Therapy Center, LLC
• Michael Posner

• Internal Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.