NPIMap

Individual provider Active NPI

Ervin Szoke, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Port St John, FL
National Provider Identifier
1467485946
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME120245 Issued in FL
Practice address
5005 Port St John Pkwy Ste 2600
Port St John, FL 32927-4305
Phone
(321) 504-7375
Fax
(321) 504-0737
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME120245 FL Primary

Addresses

Primary practice location

5005 Port St John Pkwy Ste 2600
Port St John, FL 32927-4305

Mailing address

5005 Port St John Pkwy Ste 2600
Port St John, FL 32927-4305
Phone (321) 504-7375

Other identifiers 1

IdentifierTypeStateIssuer
1467485946MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141010001017 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 1658362124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

5005 Port St John Pkwy
Port St John, FL 32927-4305

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120245FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc Endocrinology, Diabetes & Metabolism CurrentSince Nov 24, 2024 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Aug 1, 2024 Accepting new patients
Endocrine Practice Group Endocrinology, Diabetes & Metabolism PastSince Jan 1, 2009 Accepting new patients
Madison Medical Affiliates, Inc. Past Accepting new patients

Locations

5005 Port St John Pkwy
Ste 2600
Port St John, FL 32927
Phone (321) 268-6834

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ervin.szoke.1@17832.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1467485946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2600",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-504-7375",
            "fax_number": "321-504-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2600",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-504-7375",
            "fax_number": "321-504-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOKE",
        "first_name": "ERVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME120245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467485946",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St John, FL

Sources for this page

Verify at the official NPI Registry.