Individual provider Active NPI

Linda Dolin, MD

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1033107115
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME56018 Issued in FL
Practice address
7777 Glades Road
Ste 100
Boca Raton, FL 33434-4150
Phone
(561) 573-3495
Fax
(888) 910-3040
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME56018 FL Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X ME56018 FL

Addresses

Primary practice location

7777 Glades Road
Ste 100
Boca Raton, FL 33434-4150

Mailing address

7777 Glades Road
Ste 100
Boca Raton, FL 33434-4150
Phone (561) 573-3495

Other identifiers 3

IdentifierTypeStateIssuer
11541XOtherFLMEDICARE PTAN
268143900MedicaidFL
P00436796OtherFLMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031231000287 FL Practitioner - Internal Medicine 2769381599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Health Systems LLCGroup PAC ID 1557717105, 3 clinicians

Practice addresses (Care Compare)

1880 E Commercial Blvd
Suite 2
Fort Lauderdale, FL 33308-3747
Phone (954) 776-7755

Hospital & facility affiliations

  • All Services Home Health Agency Inc Home health agency, Fort Lauderdale, FL, CCN 687165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56018FLMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Health Systems LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1880 E Commercial Blvd
Ste 2
Ft Lauderdale, FL 33308
Phone (954) 776-7755

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1033107115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLADES ROAD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "561-573-3495",
            "fax_number": "888-910-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 GLADES ROAD",
            "address_2": "STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344150",
            "telephone_number": "561-573-3495",
            "fax_number": "888-910-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLIN",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME56018",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME56018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "11541X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268143900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00436796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.