1. Home
  2. Directory
  3. Florida
  4. Loxahatchee
  5. Specialist
  6. NPI Profile

ITZHAK NIR MD PA
NPI 1114293008
Specialist in Loxahatchee, FL

Active since March 26, 2012CLIA 10D2039878 · Waiver
13005 SOUTHERN BLVD, SUITE 232, LOXAHATCHEE, FL 33470(561) 753-3331(561) 753-3823 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Itzhak Nir Md Pa NPPES

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

ITZHAK NIR MD PA (NPI 1114293008) is a healthcare organization registered as a specialist in Loxahatchee, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Faith Nir, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114293008
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameITZHAK NIR MD PA
Location Address13005 SOUTHERN BLVD, SUITE 232Loxahatchee, FL 33470-9206
Mailing Address13005 Southern Blvd, Suite 232Loxahatchee, FL 33470-9206 · (561) 753-3331 · Fax (561) 753-3823
Phone(561) 753-3331
Fax(561) 753-3823
Organization SubpartNo
Authorized OfficialFaith NirOffice Manager · (561) 753-3331
Enumeration DateMarch 26, 2012
✔ NPI 1114293008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME70544
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.
13005 SOUTHERN BLVD, Loxahatchee, FL 33470
Open in Google Maps ↗

Other Identifiers 2

Other1124015482Npi
Medicare UPING90966FL

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)

Itzhak Nir Md Pa 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 Itzhak Nir MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Itzhak Nir, M.D.
Plastic and Reconstructive Surgery
NPI 1124015482
13005 SOUTHERN BLVD SUITE 232
Loxahatchee, FL 33470
(561) 753-3331
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2039878

Itzhak Nir MD PA Dba Prestige Surgery Ctr · Loxahatchee, FL
Active · expires Apr 17, 2028
CLIA Number10D2039878
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorItzhak Nir
Laboratory Phone(561) 753-3331
Laboratory LocationItzhak Nir MD PA Dba Prestige Surgery Ctr13005 Southern Blvd Ste 232, Loxahatchee, FL 33470
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Itzhak Nir MD PA's NPI number?

The NPI number for Itzhak Nir MD PA is 1114293008. It was assigned to this organization in the NPPES registry on March 26, 2012.

Where is Itzhak Nir MD PA located?

Itzhak Nir MD PA is located at 13005 Southern Blvd Suite 232, Loxahatchee, FL 33470. The listed phone number is (561) 753-3331.

What is Itzhak Nir MD PA's specialty?

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

Is Itzhak Nir MD PA enrolled in Medicare?

Yes. Itzhak Nir MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Itzhak Nir MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Itzhak Nir MD PA. 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.

Does Itzhak Nir MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2039878) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Itzhak Nir MD PA was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.