Ivanka Kovalyshyn, D.O

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS13270 Issued in FL

Practice address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450

Phone

(561) 247-4984

NPI assigned

Apr 3, 2010

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Metroplex Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Coppell, TX
  • NPI 1942223029

  MA

  Medicare reassignment NPD
• Integrated Dermatology of Florida, LLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1801434675
  NPD
• Cohen Dermatopathology, P.C.

  dba Inform Diagnostics, Inc

  • Clinical Medical Laboratory
  • Needham, MA
  • NPI 1477522910

  Dermatopathology

  NPD
• Cohen Dermatopathology, P.C.

  dba Inform Diagnostics

  • Anatomic Pathology Physician
  • Needham, MA
  • NPI 1770755456
  NPD

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1114242039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-247-4984",
            "fax_number": "561-431-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-247-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALYSHYN",
        "first_name": "IVANKA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-03",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS13270",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "34.011030",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "OS13270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Kotler, LCSW MA
• George Koutras, PT
• Alyssa Kovacs, IDTS
• Daniel Scott Kovacs, M.D.
• Svitlana Koval, DMD, MSC, BDS
• Linda Kowalczyk, A.R.N.P.
• Meredith Kowalsky, M.S., P.T.
• Timothy J Kozlowski, PTA
• Marjorie Claudine Kragel, MD
• Beth A Krakower, MSW

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.