NPIMap

Individual provider Active NPI

Elie Ciril, M.D.

  • Nephrology Physician
  • Hollywood, FL
National Provider Identifier
1477854891
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME108779 Issued in FL
Practice address
3854 Sheridan St Ste a
Hollywood, FL 33021-3630
Phone
(954) 966-3018
Fax
(954) 966-5249
NPI assigned
Nov 17, 2010
Last updated
May 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME108779 FL
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X ME108779 FL Primary

Addresses

Primary practice location

3854 Sheridan St Ste a
Hollywood, FL 33021-3630

Mailing address

3854 Sheridan St Ste a
Hollywood, FL 33021-3630
Phone (954) 966-3018

Other identifiers 2

IdentifierTypeStateIssuer
14CL7OtherFLBCBS FL
004094500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eciril31763@direct.acumenmd.com

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
I20110809000146 FL Practitioner - NephrologyPractitioner - Internal Medicine 4688843675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Florida Kidney Care LLCGroup PAC ID 7911129747, 4 clinicians

Practice addresses (Care Compare)

3854 Sheridan St
Suite a
Hollywood, FL 33021-3630
Phone (954) 966-3018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
87.01
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Kidney Care LLC Nephrology CurrentSince Jul 21, 2014 Accepting new patients

Locations

4060 Sheridan St
Ste B
Hollywood, FL 33021
Phone (954) 966-3018

3854 Sheridan St
Ste A
Hollywood, FL 33021
Phone (954) 326-0603

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • Direct secure messaging: eciril31763@direct.acumenmd.com

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.

Hospital & facility affiliations 11

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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1477854891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213630",
            "telephone_number": "954-966-3018",
            "fax_number": "954-966-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3854 SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213630",
            "telephone_number": "954-966-3018",
            "fax_number": "954-966-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIL",
        "first_name": "ELIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108779",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME108779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "14CL7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004094500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eciril31763@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "3854 Sheridan St Ste A",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330213630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.