Active NPI
Elena Kruglyak, MD
- Medical Oncology Physician
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME68735
- Practice address
- 5130 Linton Blvd Ste B4
Delray Beach, FL 33484-6595 - Phone
- (561) 808-0098
- Fax
- (561) 496-0592
- NPI assigned
- Oct 6, 2005
- Last updated
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME68735 | FL | |
| Hematology (Internal Medicine) Physician | 207RH0000X | ME68735 | FL | |
| Medical Oncology Physician | 207RX0202X | ME68735 | FL | Primary |
Addresses
Primary practice location
5130 Linton Blvd Ste B4
Delray Beach, FL 33484-6595
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
9970 Central Park Blvd N
Suite 304
Boca Raton, FL 33428-2231
Phone (561) 482-6611
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMP000003849305 | Other | FL | MOLINA |
| 252889 | Other | FL | AVMED |
| DELRAY456 | Other | FL | RR MEDICARE |
| 27290 | Other | FL | BCBS |
| 264956000 | Medicaid | FL | |
| 6664 | Other | FL | DIMENSION HEALTH |
| P1001984 | Other | FL | FREEDOM |
| 5475027 | Other | FL | AETNA |
| P954880 | Other | FL | OPTIMUM |
| 102794200 | Medicaid | FL | |
| 1255024 | Other | FL | WELLCARE |
| 6550599 | Other | FL | CIGNA |
Other names 1
- Elena Kruglyak
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5130 Linton Blvd
Suite B4
Delray Beach, FL 33484-6595
Phone (561) 808-0098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68735 | FL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Hematology | Current | Accepting new patients |
| Vitas Solutions Inc | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Medical Oncology | Past | Accepting new patients |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Comprehensive Cancer Centers Inc | Specialist | Past | Accepting new patients |
| Comprehensive Cancer Centers Inc | Specialist | Past | Accepting new patients |
Locations
21020 State Road 7
Boca Raton, FL 33428
Phone (561) 883-7502
21020 State Road 7
Ste 200C
Boca Raton, FL 33428
Phone (561) 409-1071
5130 Linton Blvd
Ste B4
Delray Beach, FL 33484
Phone (561) 808-0098
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277
100 Century Blvd
Ste 101
West Palm Beach, FL 33417
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Hematology
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
-
- Specialist
- Boca Raton, FL
- NPI 1962490425
-
- Medical Oncology Physician
- Boca Raton, FL
- NPI 1184320590
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
dba Delray Medical Center
- General Acute Care Hospital
- Delray Beach, FL
- NPI 1326078288
-
dba West Boca Medical Center
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1588697296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1265420020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 LINTON BLVD STE B4",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846595",
"telephone_number": "561-808-0098",
"fax_number": "561-496-0592"
}
],
"practiceLocations": [
{
"address_1": "9970 Central Park Blvd N",
"address_2": "Suite 304",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334282231",
"country_code": "US",
"telephone_number": "561-482-6611",
"fax_number": "561-482-3056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUGLYAK",
"first_name": "ELENA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME68735",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "FL",
"license": "ME68735",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME68735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMP000003849305",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "252889",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DELRAY456",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27290",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264956000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION HEALTH",
"identifier": "6664",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P1001984",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5475027",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P954880",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102794200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1255024",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6550599",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELENA",
"last_name": "KRUGLYAK",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.