Organization Active NPI

Boynton Beach Heart Center PA

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
National Provider Identifier
1952471104
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME89000 Issued in FL
Legal business name
BOYNTON BEACH HEART CENTER PA
Practice address
3925 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33436
Phone
(561) 735-3334
Fax
(561) 735-3774
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sameh Youssef, MDNPI 1225036304
Title
President
Phone
(561) 735-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME89000 FL Primary

Addresses

Primary practice location

3925 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33436

Mailing address

3925 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33436
Phone (561) 735-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060214000402 FL Part B Supplier - Clinic/Group Practice 9032124920 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1074205Boynton Beach Heart Center PA3925 W Boynton Beach Blvd Ste 102, Boynton Beach, FL 33436Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

3925 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33436
Phone (561) 735-3334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952471104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 W BOYNTON BEACH BLVD",
            "address_2": "STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-735-3334",
            "fax_number": "561-735-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 W BOYNTON BEACH BLVD",
            "address_2": "STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33436",
            "telephone_number": "561-735-3334",
            "fax_number": "561-735-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON BEACH HEART CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-735-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME89000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.