Active NPI
Ilan Alhadeff, MD
- Internal Medicine Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME104650
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 265-1562
- NPI assigned
- May 22, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.134852 | OH | |
| Internal Medicine Physician | 207R00000X | MA07934400 | NJ | |
| Internal Medicine Physician | 207R00000X | 236677 | NY | |
| Internal Medicine Physician | 207R00000X | 51663 | TN | |
| Internal Medicine Physician | 207R00000X | ME104650 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
1643 NW 136TH Ave Ste 100
Sunrise, FL 33323-2857
Phone (800) 424-3672
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074381 | Medicaid | NJ | |
| 096284DR7 | Other | NJ | MEDICARE ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ialhadeff112147@MHSDIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000731 | FL | Practitioner - Internal Medicine | 0244250306 | Reassigns benefits to 6 organizations |
| I20181210001172 | OH | Practitioner - Internal Medicine | 0244250306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA07934400 | NJ | MD | Internal Medicine Physician |
| 236677 | NY | MD | Internal Medicine Physician |
| 35.134852 | OH | MD | Internal Medicine Physician |
| 51663 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| West Palm Beach Physician Group Inc | Current | Accepting new patients | |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients | |
| Infinity Medical Concierge | Current | Accepting new patients | |
| Northeast Florida Hospitalists Inc | Current | Accepting new patients | |
| Castelli Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Emergency Physician Associates of North Jersey P C | Past | Accepting new patients | |
| Cogent Healthcare of New Jersey, PC | Internal Medicine | Past | Accepting new patients |
Locations
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
951 NW 13th St
Ste 5D
Boca Raton, FL 33486
Phone (561) 392-7266
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
Interoperability endpoints
- ialhadeff112147@mhsdirect.net
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
FL, Internal Medicine
-
- Internal Medicine Physician
- Cape May Court House, NJ
- NPI 1548399025
Internal Medicine
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1629304290
Internal Medicine
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1124072194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 NW 136TH AVE STE 100",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232857",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-1562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHADEFF",
"first_name": "ILAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.134852",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA07934400",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "236677",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "51663",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME104650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0074381",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "096284DR7",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ialhadeff112147@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.