Active NPI
Elio Raul Novoa, MD
- Internal Medicine Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME43467
- Practice address
- 875 Military TRL
Suite 200
Jupiter, FL 33458-5700 - Phone
- (561) 746-2411
- Fax
- (561) 354-0012
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME43467 | FL | Primary |
Addresses
Primary practice location
875 Military TRL
Suite 200
Jupiter, FL 33458-5700
Mailing address
875 Military TRL
Suite 200
Jupiter, FL 33458-5700
Phone (561) 746-2411
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ENovoa@conviva.eclinicaldirectplus.com | ||
| Direct Messaging Address | elio.novoa@conviva.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Metcare of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Metcare of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Palms West MRI, LLC | Past | Accepting new patients |
Locations
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
875 Military Trl
Ste 200
Jupiter, FL 33458
Phone (561) 746-2411
875 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 242-9646
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591
1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200
Interoperability endpoints
- enovoa20516@jupitermedicalcenter.direct-ci.com
- enovoa@conviva.eclinicaldirectplus.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.
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- NPI 1649324278
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1619433869
-
- Radiology Clinic/Center
- Belle Glade, FL
- NPI 1871584771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1124012448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MILITARY TRL",
"address_2": "SUITE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585700",
"telephone_number": "561-746-2411",
"fax_number": "561-354-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MILITARY TRL",
"address_2": "SUITE 200",
"city": "JUPITER",
"state": "FL",
"postal_code": "334585700",
"telephone_number": "561-746-2411",
"fax_number": "561-354-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOA",
"first_name": "ELIO",
"middle_name": "RAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME43467",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ENovoa@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "875 Military Trl",
"address_2": "SUITE 200",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334585700",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elio.novoa@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "875 Military Trl",
"address_2": "SUITE 200",
"city": "Jupiter",
"state": "FL",
"country_code": "US",
"postal_code": "334585700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.