SOUTHEAST UNIVERSITY PHYSICIANS PLLC
NPI 1710444583
Surgery - Surgical Critical Care in Palm Beach Gardens, FL

Active since February 27, 2019
2560 RCA BLVD STE 106, PALM BEACH GARDENS, FL 33410(561) 799-9559(561) 799-9577 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2024, Feb 27, 2019 (2 updates tracked since 2019).

About Southeast University Physicians Pllc NPPES

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

SOUTHEAST UNIVERSITY PHYSICIANS PLLC (NPI 1710444583) is a healthcare organization registered as a surgical critical care in Palm Beach Gardens, Florida and active in the NPI registry since February 2019. The organization lists Kathryn Noland, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1710444583
Entity TypeOrganization
Primary Taxonomy2086S0102X
Legal Business NameSOUTHEAST UNIVERSITY PHYSICIANS PLLC
Location Address2560 RCA BLVD STE 106Palm Beach Gardens, FL 33410-3336
Mailing Address2560 Rca Blvd Ste 106Palm Beach Gardens, FL 33410-3336 · (561) 799-9559 · Fax (561) 799-9577
Fax(561) 799-9577
Organization SubpartNo
Authorized OfficialKathryn NolandPractice Manager · (561) 799-9559
Enumeration DateFebruary 27, 2019
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1710444583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedSurgeryTaxonomy 208600000X
2560 RCA BLVD STE 106, Palm Beach Gardens, FL 33410

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Southeast University Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Southeast University Physicians PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Critical Care (Intensivists)
NPI 1821191826
2560 RCA BLVD STE 106
Palm Beach Gardens, FL 33410
(561) 799-9559
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1699067736
2650 RCA BLVD SUITE 106
Palm Beach Gardens, FL 33410
(561) 799-9559
✔ PECOS✔ Accepts Medicare0.4 mi
General Practice
NPI 1215279625
3375 BURNS RD STE 206
Palm Beach Gardens, FL 33410
(561) 799-9559
✔ PECOS0.9 mi
General Surgery
NPI 1174886386
3375 BURNS RD STE 206
Palm Beach Gardens, FL 33410
(561) 799-9559
✔ PECOS✔ Accepts Medicare0.9 mi
General Surgery
NPI 1972745438
3375 BURNS RD SUITE 206
Palm Beach Gardens, FL 33410
(561) 799-9559
✔ PECOS✔ Accepts Medicare0.9 mi
General Practice
NPI 1659384600
1030 BIMINI LN
Riviera Beach, FL 33404
(561) 840-0494
✔ PECOS✔ Accepts Medicare3.6 mi
General Surgery
NPI 1225520901
901 45TH ST
Mangonia Park, FL 33407
(561) 799-9559
✔ PECOS✔ Accepts Medicare5.7 mi
General Surgery
NPI 1265708432
3443 DICKERSON PIKE STE 370
Nashville, TN 37207
(615) 769-2799
✔ PECOS✔ Accepts Medicare758 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 Southeast University Physicians PLLC's NPI number?

The NPI number for Southeast University Physicians PLLC is 1710444583. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Southeast University Physicians PLLC located?

Southeast University Physicians PLLC is located at 2560 Rca Blvd Ste 106, Palm Beach Gardens, FL 33410. The listed phone number is (561) 799-9559.

What is Southeast University Physicians PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Southeast University Physicians PLLC enrolled in Medicare?

Yes. Southeast University Physicians PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast University Physicians PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeast University Physicians PLLC. 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. The largest specialties are General Surgery (4), Critical Care (Intensivists) (2) and General Practice (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast University Physicians PLLC was last updated on July 22, 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.