Individual provider Active NPI

Katerina Litvinova, MD

  • Gynecology Physician
  • Miramar, FL
National Provider Identifier
1073076279
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME167952 Issued in FL
Practice address
12741 Miramar Pkwy Ste 302
Miramar, FL 33027-2905
Phone
(954) 602-9723
Fax
(954) 602-9724
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME167952 FL Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME167952 FL

Addresses

Primary practice location

12741 Miramar Pkwy Ste 302
Miramar, FL 33027-2905

Mailing address

12741 Miramar Pkwy Ste 302
Miramar, FL 33027-2905
Phone (954) 602-9723

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
I20240809002300 FL Practitioner - Obstetrics/Gynecology 8224576137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians
DHP of Manatee PAGroup PAC ID 5799016846, 45 clinicians

Practice addresses (Care Compare)

12741 Miramar Pkwy
Suite 302
Miramar, FL 33027-2905
Phone (954) 602-9723

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167952FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Vitalmd Group Holding LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

12741 Miramar Pkwy
Ste 302
Miramar, FL 33027
Phone (954) 602-9723

12741 Miramar Pkwy
Ste 302306
Miramar, FL 33027

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12741 Miramar Pkwy
Ste 306
Miramar, FL 33027
Phone (954) 961-9200

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Organizations & group practices 2

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 2

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1073076279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 302",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-602-9723",
            "fax_number": "954-602-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 302",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-602-9723",
            "fax_number": "954-602-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVINOVA",
        "first_name": "KATERINA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME167952",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME167952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.