Organization Active NPI

Icare Mobile Medicine LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1376215111
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ICARE MOBILE MEDICINE LLC
Practice address
1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936
Phone
(786) 661-7830
Fax
(701) 701-9902
NPI assigned
Sep 30, 2021
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Ivan Islamaj, PA-CNPI 1174924963
Title
PA-C
Phone
(216) 502-6577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Internal Medicine Physician 207R00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

1150 NW 72ND Ave Ste PH-1
Miami, FL 33126-1936

Mailing address

1150 NW 72ND Ave PH 1
Miami, FL 33126-1920
Phone (786) 661-7830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012002823 FL Part B Supplier - Clinic/Group Practice 5890193478 Receives reassigned benefits from 9 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

2525 Embassy Dr
Ste 5
Hollywood, FL 33026
Phone (786) 661-7830

1150 NW 72nd Ave
Ph
Miami, FL 33126
Phone (305) 591-1606

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1376215111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE PH 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261920",
            "telephone_number": "786-661-7830",
            "fax_number": "305-701-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 72ND AVE STE PH-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331261936",
            "telephone_number": "786-661-7830",
            "fax_number": "701-701-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE MOBILE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "ISLAMAJ",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "216-502-6577",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.