Individual provider Active NPI

Elyn Eliezer Lanfranco Delgado, MD

  • Family Medicine Physician
  • North Lauderdale, FL
National Provider Identifier
1225523731
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME158264 Issued in FL
Practice address
6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone
(954) 379-8994
Fax
(954) 289-4682
NPI assigned
Jun 27, 2018
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14712 PR
Family Medicine Physician 207Q00000X ME158264 FL Primary

Addresses

Primary practice location

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Mailing address

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone (954) 379-8994

Other identifiers 4

IdentifierTypeStateIssuer
854409MedicaidSC
SCK5046067OtherSCMEDICARE PIN
SCK504J577OtherSCMEDICARE PIN
SCK5046084OtherSCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 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
I20210715002168 SC Practitioner - Family Practice 4587066311 Reassigns benefits to 5 organizations
I20220917000467 FL Practitioner - Family Practice 4587066311 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14712PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Pelham Medical Center CurrentSince Jul 26, 2022 Accepting new patients
Cherokee Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Cherokee Medical Center Family Medicine Current Accepting new patients
Spartanburg Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Pelham Medical Center Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Jul 26, 2022 Accepting new patients
Spartanburg Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Pelham Medical Center CurrentSince Jul 26, 2022 Accepting new patients
Cherokee Medical Center CurrentSince Jul 1, 2021 Accepting new patients

Locations

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1225523731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994",
            "fax_number": "954-289-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994",
            "fax_number": "954-289-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANFRANCO DELGADO",
        "first_name": "ELYN",
        "middle_name": "ELIEZER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "14712",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME158264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854409",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK5046067",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK504J577",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCK5046084",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.