Boynton Beach Medical – Federally Qualified Health Center (FQHC), NPI 1447578125

Boynton Beach Medical is a healthcare provider. based in Boynton beach, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Boynton Beach Medical is 1447578125

Main info

Organization
Name
Boynton Beach Medical
NPI
1447578125
Phone
(561) 806-6835
Address
639 E OCEAN AVE STE 409
Authorized Official
DEANNA MOULTRIE WARREN CEO
Enumeration Date
5 May 2010
Last Update Date
4 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Boynton Beach Medical

  • 639 E OCEAN AVE STE 409

    BOYNTON BEACH, FL 334355017

    Phone: (561) 806-6835

    Fax: (561) 806-6607

    Type: Mailing

  • 709 S FEDERAL HWY STE 3

    BOYNTON BEACH, FL 334355610

    Phone: (561) 735-6553

    Fax: (561) 735-7739

    Type: Location

  • 2623 S SEACREST BLVD STE 65

    BOYNTON BEACH, FL 334357541

    Phone: (561) 806-6835

    Fax: (561) 806-6607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (282 days ago).

Enrollment records

1

Earliest due date

2025-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20130107000196OFederally Qualified Health Center (Fqhc)FL2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33435)

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Reviews

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Frequently asked questions

Is there an official ID for Boynton Beach Medical in U.S. healthcare records?
The official identifier for Boynton Beach Medical is NPI 1447578125.
Is there an active status for Boynton Beach Medical?
For scheduling context, Boynton Beach Medical is shown as active in the registry.
What area of care is associated with Boynton Beach Medical?
Boynton Beach Medical's record emphasizes Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where in Florida is Boynton Beach Medical registered?
Use Boynton Beach, Florida as the headline location for Boynton Beach Medical here.
When was this NPI issued?
Enumeration for Boynton Beach Medical is noted as May 5, 2010 where the registry provides it.

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