Individual provider Active NPI

Vito Carlo Proscia, MD

  • Gastroenterology Physician
  • Boca Raton, FL
National Provider Identifier
1972575876
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME51876 Issued in FL
Practice address
951 NW 13TH St
Suite 2E
Boca Raton, FL 33486-2337
Phone
(561) 368-3455
Fax
(561) 368-8642
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME51876 FL Primary

Addresses

Primary practice location

951 NW 13TH St
Suite 2E
Boca Raton, FL 33486-2337

Mailing address

951 NW 13TH St
Ste 2E
Boca Raton, FL 33486-2337
Phone (954) 344-2522

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
I20070219000708 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 7113965179 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants of Boca Raton Gastroenterology CurrentSince Feb 29, 2020 Accepting new patients
Sia - Specialty Infusion LLC CurrentSince Mar 30, 2023 Accepting new patients

Locations

2200 Glades Rd
Ste 304
Boca Raton, FL 33431
Phone (561) 955-7079

951 NW 13th St
Ste 2E
Boca Raton, FL 33486
Phone (561) 368-3455

951 NW 13th St
Boca Raton, FL 33486
Phone (561) 368-3455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22712/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vito.proscia.1@22712.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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1972575876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "STE 2E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "954-344-2522",
            "fax_number": "954-344-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST",
            "address_2": "SUITE 2E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862337",
            "telephone_number": "561-368-3455",
            "fax_number": "561-368-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSCIA",
        "first_name": "VITO",
        "middle_name": "CARLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME51876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.