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MR. RIZWAN KARATELA M.D.
NPI 1407830904
Internal Medicine - Cardiovascular Disease in Boynton Beach, FL

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
92.49/100
CMS Quality Rating
6080 BOYNTON BEACH BLVD STE 260, BOYNTON BEACH, FL 33437(561) 770-7030 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rizwan Karatela M.d. NPPES

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

MR. RIZWAN KARATELA M.D. (NPI 1407830904) is an individual cardiovascular disease provider in Boynton Beach, Florida, licensed in Florida (ME55901) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407830904
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. RIZWAN KARATELACredential: M.D.
Location Address6080 BOYNTON BEACH BLVD STE 260Boynton Beach, FL 33437-3589
Mailing Address7593 W Boynton Beach Blvd Ste 220Boynton Beach, FL 33437-6162 · (561) 649-7000 · Fax (561) 641-3748
Phone(561) 770-7030
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 30, 2005
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1407830904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME55901
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6080 BOYNTON BEACH BLVD STE 260, Boynton Beach, FL 33437
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15301 S Congress AveAtlantis, FL 33462-1149 · Phone (561) 770-7030 · Fax (561) 770-7037
Location 29655 Boynton Beach BlvdBoynton Beach, FL 33472-4421 · Phone (561) 770-7030 · Fax (561) 770-7037
Location 3110 John F Kennedy Dr, SUITE 110Atlantis, FL 33462-1146 · Phone (561) 641-7825 · Fax (561) 641-3748

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rizwan Karatela M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638146319
PECOS Enrollment IDI20040913000742
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost58.32

Reported Quality Measures

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
100%27 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
97%127 patients5/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%140 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
100%29 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
100%460 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
100%160 patients5/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTO VON SOHSTEN MD
Internal Medicine (Cardiovascular Disease)
6080 BOYNTON BEACH BLVD STE 260
BOYNTON BEACH, FL 33437
Palm Beach County (561) 770-7030
LETITIA MARIE AYALA APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
6080 BOYNTON BEACH BLVD STE 260
BOYNTON BEACH, FL 33437
Palm Beach County (561) 770-7030

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 Rizwan Karatela's NPI number?

The NPI number for Rizwan Karatela is 1407830904. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Rizwan Karatela located?

Rizwan Karatela practices at 6080 Boynton Beach Blvd Ste 260, Boynton Beach, FL 33437. The listed phone number is (561) 770-7030.

What is Rizwan Karatela's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rizwan Karatela enrolled in Medicare?

Yes. Rizwan Karatela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rizwan Karatela accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Rizwan Karatela as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rizwan Karatela affiliated with any hospitals?

According to CMS data, Rizwan Karatela is affiliated with Hca Florida Jfk Hospital.

When was this NPI record last updated?

The NPPES record for Rizwan Karatela was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.