Individual provider Active NPI

Alla Weisz, M.D.

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1972580207
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01055029 Issued in IN
Practice address
3375 Burns Rd Ste 207
Palm Beach Gardens, FL 33410-4361
Phone
(561) 802-7999
Fax
(561) 421-3799
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01055029 IN Primary

Addresses

Primary practice location

3375 Burns Rd Ste 207
Palm Beach Gardens, FL 33410-4361

Mailing address

7143 Winding Bay LN
West Palm Beach, FL 33412-3039
Phone (317) 985-9599

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
I20090225000370 FL Practitioner - Family Practice 2062578172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

7143 Winding Bay LN
West Palm Beach, FL 33412-3039
Phone (317) 985-9599

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01055029INMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: aweisz21100@jupitermedicalcenter.direct-ci.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 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1972580207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7143 WINDING BAY LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123039",
            "telephone_number": "317-985-9599",
            "fax_number": "561-421-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 BURNS RD STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104361",
            "telephone_number": "561-802-7999",
            "fax_number": "561-421-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISZ",
        "first_name": "ALLA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01055029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.