Ivan R Espaillat, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME92158 Issued in FL

Practice address

12002 SW 128TH CT
Suite 204
Miami, FL 33186-4639

Phone

(305) 234-8264

Fax

(305) 255-1752

NPI assigned

Nov 3, 2005

Last updated

Dec 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• High Standard Health Services Inc Home health agency, Miami, FL, CCN 109330
• Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
• Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
• Kendall Lakes Healthcare and Rehab Center Nursing home, Miami, FL, CCN 686123

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan Espaillat MD PA

  • Specialist
  • Miami, FL
  • NPI 1023037066

  Internal Medicine

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospital of Miami Inc

  dba Baptist Hospital

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1528042884
  Care Compare affiliation
• High Standard Health Services, Inc.

  • Home Health Agency
  • Miami, FL
  • NPI 1982875027
  Care Compare affiliation
• Kendall Lakes Healthcare and Rehab Center LLC

  • Skilled Nursing Facility
  • Miami, FL
  • NPI 1124777669

  Nursing home

  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Boynton Beach, FL
  • NPI 1467507657
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Miami Lakes, FL
  • NPI 1528113792
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Melbourne, FL
  • NPI 1669548053
  Care Compare affiliation
• Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1972555464
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1104817584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440728",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331440728",
            "telephone_number": "305-234-8264",
            "fax_number": "305-255-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 SW 128TH CT",
            "address_2": "SUITE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864639",
            "telephone_number": "305-234-8264",
            "fax_number": "305-255-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPAILLAT",
        "first_name": "IVAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275149600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Espaillat Medical Group PLLC
• Espaillat Medical Services LLC (Diabetes Eye Care Institute)
• Espaillat Optical Network, PLLC
• Espaillat Vision Network, PLLC
• Gabriela Maria Espaillat
• Yudith Espana Montes de Oca, APRN-FNP
• Maria Ivonne Espana, ARNP
• Yuri Espanola Diaz
• Elaine Espanola
• Aileen Esparra, BS

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.