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DR. MARIO THELIARD M.D.
NPI 1669804720
General Practice in West Palm Beach, FL

Active since July 31, 2013PECOS Enrolled
2330 S CONGRESS AVE, WEST PALM BEACH, FL 33406(561) 432-5849 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2024, Oct 3, 2023 (2 updates tracked since 2023).

About Dr. Mario Theliard M.d. NPPES

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

DR. MARIO THELIARD M.D. (NPI 1669804720) is an individual general practice provider in West Palm Beach, Florida, licensed in Florida (ME140780) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1669804720
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARIO THELIARDCredential: M.D.
Location Address2330 S CONGRESS AVEWest Palm Beach, FL 33406-7608
Mailing Address2330 S Congress AveWest Palm Beach, FL 33406-7608 · (561) 432-5849
Phone(561) 432-5849
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 31, 2013
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1669804720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in FL · ME140780✔ Licensed in PR · 020982
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2330 S CONGRESS AVE, West Palm Beach, FL 33406
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Other Identifiers 2

OtherOS240FL · Medicare
Medicaid010726500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Theliard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305078338
PECOS Enrollment IDI20140407000319
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mario Theliard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foundcare, Inc
Same address
Federally Qualified Health Center (FQHC)
2330 S CONGRESS AVE
Palm Springs, FL 33406
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1215182712 (561) 472-9160
Bethel Medical Group
5.7 mi
Nurse Practitioner
6045 HAGEN RANCH RD STE 4
Lake Worth, FL 33467
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1053027508 (561) 433-9331

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

Other Providers at the Same Location NPPES 20

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

CHRISTINA K SALMON MSN, APRN, FNP-C
Nurse Practitioner (Family)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
JENNIFER J. SYLVIAN D.D.S.
Dentist (Pediatric Dentistry)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
MRS. SONDIA BAYARD LINDOR NP
Nurse Practitioner (Women's Health)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
DOROTIE LACROZE
Dentist
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
ROSE PHILIUS ARNP
Nurse Practitioner (Women's Health)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
NAYELIE JEAN LOUIS
Social Worker (Clinical)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
MARIO MENDES
Counselor (Mental Health)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849
MR. PASCAL P GEDEON PA
Physician Assistant (Medical)
2330 S CONGRESS AVE
WEST PALM BEACH, FL 33406
Palm Beach County (561) 432-5849

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 Mario Theliard's NPI number?

The NPI number for Mario Theliard is 1669804720. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Mario Theliard located?

Mario Theliard practices at 2330 S Congress Ave, West Palm Beach, FL 33406. The listed phone number is (561) 432-5849.

What is Mario Theliard's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mario Theliard enrolled in Medicare?

Yes. Mario Theliard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mario Theliard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Theliard reassigns Medicare benefits to 2 organizations: Foundcare, Inc (Palm Springs, FL) and Bethel Medical Group (Lake Worth, FL). Each 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 Mario Theliard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Theliard accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Mario Theliard 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 Mario Theliard was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.