ENDOCRINOLOGY AND DIABETES CONSULTANTS
NPI 1063667996
Specialist in Lake Worth, FL

Active since November 19, 2008
4915 S CONGRESS AVE, SUITE D, LAKE WORTH, FL 33461(561) 964-1411(561) 964-3039 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Endocrinology And Diabetes Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDOCRINOLOGY AND DIABETES CONSULTANTS (NPI 1063667996) is a healthcare organization registered as a specialist in Lake Worth, Florida and active in the NPI registry since November 2008. The organization lists Gulnaz Mirza, Owner, as its authorized official.

NPPES Registry Identity

NPI1063667996
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameENDOCRINOLOGY AND DIABETES CONSULTANTS
Location Address4915 S CONGRESS AVE, SUITE DLake Worth, FL 33461-4734
Mailing Address4915 S Congress Ave, Suite DLake Worth, FL 33461-4734 · (561) 964-1411 · Fax (561) 964-3039
Fax(561) 964-3039
Organization SubpartNo
Authorized OfficialGulnaz MirzaOwner · (561) 964-1411
Enumeration DateNovember 19, 2008
✔ NPI 1063667996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 07717
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4915 S CONGRESS AVE, Lake Worth, FL 33461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Endocrinology And Diabetes Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Endocrinology And Diabetes Consultants, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1215904354
8190 S JOG RD SUITE 120
Boynton Beach, FL 33472
(561) 964-1411
✔ PECOS✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Endocrinology And Diabetes Consultants's NPI number?

The NPI number for Endocrinology And Diabetes Consultants is 1063667996. It was assigned to this organization in the NPPES registry on November 19, 2008.

Where is Endocrinology And Diabetes Consultants located?

Endocrinology And Diabetes Consultants is located at 4915 S Congress Ave Suite D, Lake Worth, FL 33461. The listed phone number is (561) 964-1411.

What is Endocrinology And Diabetes Consultants's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Endocrinology And Diabetes Consultants enrolled in Medicare?

Yes. Endocrinology And Diabetes Consultants is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Endocrinology And Diabetes Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Endocrinology And Diabetes Consultants. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Endocrinology And Diabetes Consultants was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.