Individual provider Active NPI

Andrew Lelchuk, DO

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1063073906
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS20179 Issued in FL
Practice address
1601 Clint Moore Rd Ste 115
Boca Raton, FL 33487-5712
Phone
(561) 997-8484
Fax
(561) 997-8429
NPI assigned
Jun 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25MB11636300 NJ
Hospitalist Physician 208M00000X OS20179 FL
Internal Medicine Physician 207R00000X OS20179 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd Ste 115
Boca Raton, FL 33487-5712

Mailing address

1601 Clint Moore Rd Ste 115
Boca Raton, FL 33487-5712
Phone (561) 997-8484

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
I20231130003526 FL Practitioner - General Practice 4587012539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ima of South Florida LLCGroup PAC ID 6406820414, 30 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 115
Boca Raton, FL 33487-5712
Phone (561) 997-8484

Hospital & facility affiliations

  • Comfort Care Homecare Inc Home health agency, Boca Raton, FL, CCN 687128
  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11636300NJMDGeneral Practice Physician
OS20179FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ima of South Florida LLC Internal Medicine CurrentSince Feb 3, 2025 Accepting new patients
Accountable Care Hospitalist Group Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
MG H2 LLC Hospitalist CurrentSince Sep 1, 2024 Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 115
Boca Raton, FL 33487
Phone (561) 939-0760

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: andrew.lelchuk.1@31574.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1063073906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "561-997-8484",
            "fax_number": "561-997-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 115",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875712",
            "telephone_number": "561-997-8484",
            "fax_number": "561-997-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELCHUK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MB11636300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS20179",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.