Individual provider Active NPI

Ivette Felipe, M.D.

  • Pediatrics Physician
  • Boca Raton, FL
National Provider Identifier
1487759015
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME104353 Issued in FL
Practice address
801 Meadows Road
Suite 116 -118
Boca Raton, FL 33486
Phone
(561) 338-9615
Fax
(613) 389-6165
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME104353 FL Primary

Addresses

Primary practice location

801 Meadows Road
Suite 116 -118
Boca Raton, FL 33486

Mailing address

801 Meadows Road
Suite 116 -118
Boca Raton, FL 33486
Phone (561) 338-9615

Other identifiers 1

IdentifierTypeStateIssuer
000957600MedicaidFL

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
I20160314000857 FL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7911203229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME104353FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Community Health of South Florida, Inc. PastSince Apr 1, 2020 Accepting new patients
Suramed Health Center, PA Pediatrics Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Apr 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1487759015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS ROAD",
            "address_2": "SUITE 116 -118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-338-9615",
            "fax_number": "613-389-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS ROAD",
            "address_2": "SUITE 116 -118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-338-9615",
            "fax_number": "613-389-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIPE",
        "first_name": "IVETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME104353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000957600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.