Individual provider Active NPI

Yakov Ilich Gitin, MD

  • Gastroenterology Physician
  • Atlantis, FL
National Provider Identifier
1194742015
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME100527 Issued in FL
Practice address
5401 S Congress Ave
Suite 211
Atlantis, FL 33462-6635
Phone
(561) 964-8221
Fax
(561) 964-7393
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME100527 FL Primary

Addresses

Primary practice location

5401 S Congress Ave
Suite 211
Atlantis, FL 33462-6635

Mailing address

5700 Lake Worth Rd
Ste 204
Lake Worth, FL 33463-3213
Phone (561) 966-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 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

Enrollment IDStateProvider typePAC IDDetails
I20080806000260 FL Practitioner - Gastroenterology 0840261285 Reassigns benefits to 1 organization
I20250404000630 NM Practitioner - Gastroenterology 0840261285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

3450 11TH CT
Vero Beach, FL 32960-5012
Phone (772) 299-3511

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

4401 E Lohman Ave
Las Cruces, NM 88011-8267

Hospital & facility affiliations

  • Mountain View Regional Medical Center Hospital, Las Cruces, NM, CCN 320085
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Three Crosses Regional Hospital LLC Hospital, Las Cruces, NM, CCN 320091

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy79
Upper gastrointestinal (GI) endoscopy for acid reflux154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100527FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Apr 7, 2025 Accepting new patients
Indian River Health Services Inc Gastroenterology CurrentSince May 28, 2017 Accepting new patients
Indian River Health Services Inc CurrentSince May 28, 2017 Accepting new patients
Familycare Associates,PA Past Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients
Medical Care of Boston Management Corporation Past Accepting new patients

Locations

3450 11th Ct
Ste 206
Vero Beach, FL 32960
Phone (772) 299-3511

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1194742015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE WORTH RD",
            "address_2": "STE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334633213",
            "telephone_number": "561-966-7707",
            "fax_number": "561-964-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE",
            "address_2": "SUITE 211",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626635",
            "telephone_number": "561-964-8221",
            "fax_number": "561-964-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITIN",
        "first_name": "YAKOV",
        "middle_name": "ILICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME100527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.