Individual provider Active NPI

Elena Malyutina

  • Internal Medicine Physician
  • South Miami, FL
National Provider Identifier
1114246667
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109175 Issued in FL
Practice address
6200 SW 73Rd St
Box 69
South Miami, FL 33143-4679
Phone
(786) 662-5465
NPI assigned
May 24, 2010
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME109175 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
Box 69
South Miami, FL 33143-4679

Mailing address

6200 SW 73Rd St
Box 69
Miami, FL 33143
Phone (786) 662-5465

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
I20130513000210 FL Practitioner - Internal Medicine 8426295353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians
Central Florida Inpatient Medicine LLCGroup PAC ID 7911805254, 113 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone (407) 445-9545

525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone (407) 647-2346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine Current Accepting new patients
Cogent Healthcare of Pensacola LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Orlando Inpatient Medicine, PA Internal Medicine CurrentSince Feb 7, 2026 Accepting new patients
South Miami Inpatient Physicians Internal Medicine PastSince Sep 1, 2004 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1114246667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "address_2": "BOX 69",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "786-662-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "address_2": "BOX 69",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "786-662-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALYUTINA",
        "first_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.