Individual provider Active NPI

Ihsan Naci Bozkir, M.D.

  • Ophthalmology Physician
  • Merritt Island, FL
National Provider Identifier
1467404467
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0058054 Issued in FL
Practice address
1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone
(321) 453-3937
Fax
(855) 816-8467
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0058054 FL Primary
Ophthalmology Physician 207W00000X 35-06-2154 OH

Addresses

Primary practice location

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531

Mailing address

1045 N Courtenay Pkwy
Merritt Island, FL 32953-4531
Phone (321) 453-3937

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027003182 FL Practitioner - Ophthalmology 3971572850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058054FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aggarwal Medical Associates PA Ophthalmology CurrentSince Oct 1, 2021 Accepting new patients

Locations

232 S Wickham Rd
Melbourne, FL 32904
Phone 32145339375013

1045 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-4448

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1467404467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "855-816-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534531",
            "telephone_number": "321-453-3937",
            "fax_number": "855-816-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZKIR",
        "first_name": "IHSAN",
        "middle_name": "NACI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0058054",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-06-2154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.