Individual provider Active NPI

Victoria Loseva, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Boca Raton, FL
National Provider Identifier
1063775674
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME125781 Issued in FL
Practice address
1500 NW 10TH Ave Ste 205
Boca Raton, FL 33486-1345
Phone
(561) 391-1085
Fax
(561) 391-1449
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME125781 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave Ste 205
Boca Raton, FL 33486-1345

Mailing address

1500 NW 10TH Ave Ste 205
Boca Raton, FL 33486-1345
Phone (561) 391-1085

Other practice location 1

5210 Linton Blvd Ste 205
Delray Beach, FL 33484-6537
Phone (561) 495-1606

Other practice location 2

5210 Linton Blvd Ste 205
Delray Beach, FL 33484-6537
Phone (561) 495-1606

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
I20181016002451 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 8022327337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Idandwm LLCGroup PAC ID 4587003488, 2 clinicians

Practice addresses (Care Compare)

1328 SE 17TH St
Fort Lauderdale, FL 33316-1708
Phone (754) 777-1333

1500 NW 10TH Ave
Suite 205
Boca Raton, FL 33486-1345
Phone (561) 391-1085

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Medical Associates, Inc. Multi-Specialty CurrentSince Jul 16, 2018 Accepting new patients
Id&WM LLC Multi-Specialty CurrentSince Sep 20, 2024 Accepting new patients
East Coast Medical Associates, Inc Multi-Specialty CurrentSince Jul 16, 2018 Accepting new patients
East Coast Medical Associates, Inc. Multi-Specialty Current Accepting new patients
Instant Medical Care Center Inc Multi-Specialty PastSince Nov 21, 2023 Accepting new patients

Locations

1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085

5210 Linton Blvd
Ste 205
Delray Beach, FL 33484
Phone (561) 495-1606

1328 SE 17th St
Fort Lauderdale, FL 33316
Phone (754) 777-1333

Interoperability endpoints

  • Direct secure messaging: ecmaendoloseva@205.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.169012

Organizations & group practices 5

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1063775674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861345",
            "telephone_number": "561-391-1085",
            "fax_number": "561-391-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE STE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861345",
            "telephone_number": "561-391-1085",
            "fax_number": "561-391-1449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Linton Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846537",
            "country_code": "US",
            "telephone_number": "561-495-1606",
            "fax_number": "561-391-1449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5210 Linton Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846537",
            "country_code": "US",
            "telephone_number": "561-495-1606",
            "fax_number": "561-391-1449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOSEVA",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME125781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.