Individual provider Active NPI

Elio Raul Novoa, MD

  • Internal Medicine Physician
  • Jupiter, FL
National Provider Identifier
1124012448
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME43467 Issued in FL
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

Updated by the provider on Jan 18, 2024

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000813 FL Practitioner - Internal Medicine 6305839069 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Metcare of Florida, Inc Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Metcare of Florida, Inc Internal Medicine CurrentSince Mar 1, 2021 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

  • Direct secure messaging: enovoa20516@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.