Active NPI
Ivan Cvik, MD, P.a.
- Internal Medicine Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME87823
- Legal business name
- IVAN CVIK, MD, P.A.
- Practice address
- 13831 Metropolis Ave
Fort Myers, FL 33912-4452 - Phone
- (239) 466-6855
- Fax
- (239) 466-6833
- NPI assigned
- Mar 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivan Cvik, MD
- Title
- Medical Doctor
- Phone
- (239) 466-6855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME87823 | FL | Primary |
Addresses
Primary practice location
13831 Metropolis Ave
Fort Myers, FL 33912-4452
Mailing address
13831 Metropolis Ave
Fort Myers, FL 33912-4452
Phone (239) 466-6855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1017173 | Ivan Cvik MD PA | Certificate of waiver | Sep 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
13831 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 466-6855
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1578505905
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1679560122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395705600000",
"number": "1104243492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13831 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124452",
"telephone_number": "239-466-6855",
"fax_number": "239-466-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13831 METROPOLIS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124452",
"telephone_number": "239-466-6855",
"fax_number": "239-466-6833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVAN CVIK, MD, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A",
"authorized_official_last_name": "CVIK",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "239-466-6855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME87823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.