SOMA MEDICAL CENTER PA 12
NPI 1558149385
Internal Medicine in Boynton Beach, FL
About Soma Medical Center Pa 12 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOMA MEDICAL CENTER PA 12 (NPI 1558149385) is a healthcare organization registered as an internal medicine in Boynton Beach, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Rafael O Nunez, President, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soma Medical Center Pa 12 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Soma Medical Center PA 12, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 10D2228699
Soma Medical Center PA 6 · Boynton Beach, 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 Soma Medical Center PA 12's NPI number?
The NPI number for Soma Medical Center PA 12 is 1558149385. It was assigned to this organization in the NPPES registry on September 21, 2023.
Where is Soma Medical Center PA 12 located?
Soma Medical Center PA 12 is located at 4775 N Congress Ave, Boynton Beach, FL 33426. The listed phone number is (561) 328-8631.
What is Soma Medical Center PA 12's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Soma Medical Center PA 12 enrolled in Medicare?
Yes. Soma Medical Center PA 12 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Soma Medical Center PA 12?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Soma Medical Center PA 12, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Soma Medical Center PA 12 hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2228699) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Soma Medical Center PA 12 accept?
Health plans from AvMed list Soma Medical Center PA 12 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.
When was this NPI record last updated?
The NPPES record for Soma Medical Center PA 12 was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Soma Medical Center Pa 12 · NPI 1558149385
Internal Medicine organization in Boynton Beach, Florida. Organization record, active in the CMS NPPES registry since September 21, 2023.
## Identity
- **NPI:** 1558149385 (Entity type: Organization)
- **Enumerated:** September 21, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Rafael Nunez, PRESIDENT, MEDICAL DIRECTOR
## Practice location
- **Address:** 4775 N CONGRESS AVE, Boynton Beach, FL 33426-7941
- **Phone:** (561) 328-8631 · **Fax:** (561) 328-8632
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558149385) · Data from the CMS NPPES public registry.