Organization Active NPI

South Florida Pulmonary, LLC

  • Pulmonary Disease Physician
  • Delray Beach, FL
National Provider Identifier
1982012357
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME65317 Issued in FL
Legal business name
SOUTH FLORIDA PULMONARY, LLC
Practice address
4760 W. Atlantic Ave.
Ste. B
Delray Beach, FL 33445
Phone
(561) 637-6739
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
David O Kateb, M.D.NPI 1679677611
Title
Owner
Phone
(561) 637-6739

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME65317 FL Primary

Addresses

Primary practice location

4760 W. Atlantic Ave.
Ste. B
Delray Beach, FL 33445

Mailing address

4760 W. Atlantic Ave.
Ste. B
Delray Beach, FL 33445
Phone (561) 637-6739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329000842 FL Part B Supplier - Clinic/Group Practice 7618230129 Receives reassigned benefits from 1 practitioner
Practice locations: West Palm Beach, FL; Lantana, FL; Lake Worth, FL; Delray Beach, FL; Boca Raton, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

4760 W Atlantic Ave
Ste B
Delray Beach, FL 33445
Phone (561) 637-6739

8975 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 637-3933

Practitioners & affiliated clinicians

Practitioners 1

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": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1982012357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 W. ATLANTIC AVE.",
            "address_2": "STE. B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-637-6739",
            "fax_number": "561-303-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 W. ATLANTIC AVE.",
            "address_2": "STE. B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-637-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA PULMONARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KATEB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-637-6739",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME65317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.