ISRAEL L. WACKS, M.D., P.A.
NPI 1366745523
Internal Medicine - Nephrology in Jupiter, FL
About Israel L. Wacks, M.d., P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISRAEL L. WACKS, M.D., P.A. (NPI 1366745523) is a healthcare organization registered as a nephrology in Jupiter, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Israel Louis Wacks, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Israel L. Wacks, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Israel L. Wacks, M.D., P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D0990069
Israel L Wacks MD PA · Jupiter, FLFrequently 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 Israel L. Wacks, M.D., P.A.'s NPI number?
The NPI number for Israel L. Wacks, M.D., P.A. is 1366745523. It was assigned to this organization in the NPPES registry on December 9, 2010.
Where is Israel L. Wacks, M.D., P.A. located?
Israel L. Wacks, M.D., P.A. is located at 210 Jupiter Lakes Blvd Ste 5201, Jupiter, FL 33458. The listed phone number is (561) 743-2450.
What is Israel L. Wacks, M.D., P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Israel L. Wacks, M.D., P.A. enrolled in Medicare?
Yes. Israel L. Wacks, M.D., P.A. is registered in the Medicare PECOS enrollment system.
When is Israel L. Wacks, M.D., P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Israel L. Wacks, M.D., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Israel L. Wacks, M.D., P.A.. 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 Israel L. Wacks, M.D., P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D0990069) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Israel L. Wacks, M.D., P.A. was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Israel L. Wacks, M.d., P.a. · NPI 1366745523
Nephrology organization in Jupiter, Florida. Organization record, active in the CMS NPPES registry since December 9, 2010.
## Identity
- **NPI:** 1366745523 (Entity type: Organization)
- **Enumerated:** December 9, 2010
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Israel Wacks, PRESIDENT
## Practice location
- **Address:** 210 JUPITER LAKES BLVD, STE 5201, Jupiter, FL 33458-7191
- **Phone:** (561) 743-2450 · **Fax:** (561) 744-7090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2016
- **Other identifiers:** Medicare UPIN 10864 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366745523) · Data from the CMS NPPES public registry.