BOCA ANESTHESIA SERVICE INC – Anesthesiology Physician, NPI 1740207794
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BOCA ANESTHESIA SERVICE INC
Northeast 2nd Avenue, Carver Heights, Deerfield Beach, Broward County, Florida, 33441, United States
DEERFIELD BEACH, FL 334413504
Phone: (954) 426-8840
Fax: (954) 426-6642
Type: Mailing
5565 CENTERVIEW DR STE 107
RALEIGH, NC 276063563
Phone:
Fax: (954) 426-6642
Type: Mailing
Boca Raton Regional Hospital, 800, Meadows Road, Boca Raton, Palm Beach County, Florida, 33486, United States
BOCA RATON, FL 334862304
Phone: (561) 395-7100
Type: Location
PO BOX 744159
ATLANTA, GA 303744159
Phone:
Fax: (954) 426-6642
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040921000879 | O | Clinic/Group Practice | FL | 2023-09-30 |
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.
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 33441)
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