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ELEVATE WELLNESS 369 LLC
NPI 1649119736
Internal Medicine in Boca Raton, FL

Active since March 25, 2026
9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL 33428(561) 404-1699(561) 404-9850 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elevate Wellness 369 Llc NPPES

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

ELEVATE WELLNESS 369 LLC (NPI 1649119736) is a healthcare organization registered as an internal medicine in Boca Raton, Florida and active in the NPI registry since March 2026. The organization lists Gayatri Siram, Owner And Ceo, as its authorized official.

NPPES Registry Identity

NPI1649119736
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELEVATE WELLNESS 369 LLC
Location Address9980 CENTRAL PARK BLVD N STE 314Boca Raton, FL 33428-1704
Mailing Address9980 Central Park Blvd N Ste 314Boca Raton, FL 33428-1704 · (561) 404-1699 · Fax (561) 404-9850
Phone(561) 404-1699
Fax(561) 404-9850
Organization SubpartNo
Authorized OfficialGayatri SiramOwner And Ceo · (561) 315-0198
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1649119736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9980 CENTRAL PARK BLVD N STE 314, Boca Raton, FL 33428
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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)

Elevate Wellness 369 Llc 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 Elevate Wellness 369 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gayatri Siram
Internal Medicine
NPI 1083858476
820 DOUGLAS ROAD SUITE 820
Coral Gables, FL 33134
(305) 447-4150
✔ PECOS✔ Accepts Medicare41 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 Elevate Wellness 369 LLC's NPI number?

The NPI number for Elevate Wellness 369 LLC is 1649119736. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Elevate Wellness 369 LLC located?

Elevate Wellness 369 LLC is located at 9980 Central Park Blvd N Ste 314, Boca Raton, FL 33428. The listed phone number is (561) 404-1699.

What is Elevate Wellness 369 LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elevate Wellness 369 LLC enrolled in Medicare?

Yes. Elevate Wellness 369 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevate Wellness 369 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Elevate Wellness 369 LLC. 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 Elevate Wellness 369 LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.