Individual provider Active NPI

Ivy Zo Li Fitzpatrick, D.O.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1205069317
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS15512 Issued in FL
Practice address
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone
(904) 702-6850
Fax
(904) 702-1558
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X UNKNOWN CA
Obstetrics & Gynecology Physician 207V00000X OS15512 FL Primary

Addresses

Primary practice location

3625 University Blvd S
Jacksonville, FL 32216-4207

Mailing address

4674 Town Center Pkwy Apt 363
Jacksonville, FL 32246-8912
Phone (469) 810-7227

Other practice location 1

34800 Bob Wilson Dr
Suite 100
San Diego, CA 92134
Phone (888) 375-6782

Other names 1

  • Dr. Ivy Zo Li Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 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
I20180926000349 FL Practitioner - Obstetrics/Gynecology 2163773441 Reassigns benefits to 2 organizations
I20210316002479 VA Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 2163773441 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

3625 University S Blvd
Jacksonville, FL 32216-4207
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15512FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 7, 2018 Accepting new patients
Flagler OB GYN PA Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Bayview Physician Services, PC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Bayview Physician Services, PC CurrentSince Jun 1, 2022 Accepting new patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Mar 3, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 7, 2018 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Juan Larroude MD PA PastSince Nov 1, 2020 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients

Locations

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

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

3100 US Highway 1 S
Ste 1
Saint Augustine, FL 32086
Phone (904) 797-2777

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

828 Healthy Way
Ste 330
Virginia Beach, VA 23462
Phone (206) 895-4292

Organizations & group practices 11

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1205069317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 TOWN CENTER PKWY APT 363",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468912",
            "telephone_number": "469-810-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164207",
            "telephone_number": "904-702-6850",
            "fax_number": "904-702-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92134",
            "country_code": "US",
            "telephone_number": "888-375-6782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "IVY",
        "middle_name": "ZO LI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "UNKNOWN",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS15512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "LI",
            "middle_name": "ZO",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.