Individual provider Active NPI

Iliya Beylin, D.P.M.

  • Podiatrist
  • Coral Springs, FL
National Provider Identifier
1104803618
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2983 Issued in FL
Practice address
7501 Wiles Rd
Suite 104
Coral Springs, FL 33067-2063
Phone
(954) 755-4994
Fax
(954) 755-4995
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2983 FL Primary

Addresses

Primary practice location

7501 Wiles Rd
Suite 104
Coral Springs, FL 33067-2063

Mailing address

7501 Wiles Rd
Suite 104
Coral Springs, FL 33067-2063
Phone (954) 755-4994

Other identifiers 3

IdentifierTypeStateIssuer
480034620OtherFLRAILROAD MEDICARE
65741OtherFLBLUE CROSS BLUE SHIELD
2700759OtherFLUNITED HEALTHCARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060807000286 FL Practitioner - Podiatry 9133122484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2929 N University Dr
Suite 106
Coral Springs, FL 33065-5047
Phone (754) 702-2677

Hospital & facility affiliations

  • HCA Florida Northwest Hospital Hospital, Margate, FL, CCN 100189
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2983FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates of South Florida Podiatrist CurrentSince Oct 18, 2010 Accepting new patients
Sports Medicine Associates of South Florida, P.a. Past Accepting new patients
Foot Ankle & Leg Specialists of South Florida Inc Past Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist Past Accepting new patients

Locations

2929 N University Dr
Ste 106
Coral Springs, FL 33065
Phone (754) 702-2677

7501 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (954) 755-4994

Interoperability endpoints

  • Direct secure messaging: footandankleassociatesofsouthfl.iliyabeylin@141029.advancedmd-direct.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 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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1104803618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-755-4994",
            "fax_number": "954-755-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 WILES RD",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-755-4994",
            "fax_number": "954-755-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYLIN",
        "first_name": "ILIYA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480034620",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65741",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.