Dan Ilkovitch, MD, PHD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME121597 Issued in FL

Practice address

21550 Biscayne Blvd Ste 131
Aventura, FL 33180-1258

Phone

(305) 814-3376

Fax

(305) 939-5928

NPI assigned

Jun 12, 2012

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Miami, LM Miller School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://clearly.mmi.prod.fhir.ema-api.com/fhir/r4/

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.

• Complete Dermatology LLC

  • Dermatology Physician
  • Aventura, FL
  • NPI 1588359293
  Medicare reassignment NPD Authorized official
• Schweiger Dermatology Group PA

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment Care Compare group NPD
• Clearly Derm, LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1487947008
  Medicare reassignment NPD
• S FL Behavioral Health Assoc, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
  • NPI 1699538140
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447512827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21550 BISCAYNE BLVD STE 131",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801258",
            "telephone_number": "305-814-3376",
            "fax_number": "305-939-5928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 NE 62nd St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333082208",
            "country_code": "US",
            "telephone_number": "954-500-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILKOVITCH",
        "first_name": "DAN",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME121597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ics Radiology, Inc.
• Jose A Idone, PHYSICIAN ASSISTANT
• Yehudit Iglesia, L. AC.
• Odalys Iglesias
• Michele Marie Iguina, M.D.
• Immaculate Careers LLC
• Julie Imperatori, PA-C
• Imperial Club LP
• Infinite Health FL LLC
• Infinite Personal Possibilities

• Dermatology Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.

Verify at the official NPI Registry.