Individual provider Active NPI

Ivan Luis Ayala, MD

  • Cardiovascular Disease Physician
  • Plantation, FL
National Provider Identifier
1497830897
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME50619 Issued in FL
Practice address
220 SW 84TH Ave Ste 106
Plantation, FL 33324-2729
Phone
(954) 452-0774
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME50619 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 106
Plantation, FL 33324-2729

Mailing address

220 SW 84TH Ave Ste 106
Plantation, FL 33324-2729
Phone (954) 452-0774

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
I20040407000351 FL Practitioner - Cardiovascular Disease (Cardiology) 6608869417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
MRI Scan Center LLCGroup PAC ID 0345327037, 5 clinicians
Elite Imaging LLCGroup PAC ID 2466496880, 126 clinicians

Practice addresses (Care Compare)

20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525

3122 E Commercial Blvd
Fort Lauderdale, FL 33308-4327
Phone (954) 772-8000

3347 S State Rd 7
100 Akumin Wellington
Wellington, FL 33449-8148
Phone (561) 795-5558

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MRI Scan Center LLC CurrentSince Mar 19, 2018 Accepting new patients
Ivan L Ayala MD PA CurrentSince Jan 12, 2009 Accepting new patients
Elite Imaging LLC CurrentSince Jul 1, 2023 Accepting new patients
QMG, LLC CurrentSince Jan 1, 2024 Accepting new patients
Partners in Imaging Inc CurrentSince Sep 1, 2021 Accepting new patients
Elite Imaging LLC CurrentSince Jul 1, 2023 Accepting new patients
Mohan L Gupta MD PA Past Accepting new patients
Elite Imaging, LLC Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients

Locations

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

3122 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 772-8000

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

210 S Federal Hwy
Fl 2
Hollywood, FL 33020
Phone (954) 927-1776

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

20803 Biscayne Blvd
Ste 103
Miami, FL 33180
Phone (786) 665-8008

7867 N Kendall Dr
Ste 120
Miami, FL 33156
Phone (305) 279-2674

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

220 SW 84th Ave
Ste 106
Plantation, FL 33324
Phone (954) 318-2090

8395 W Oakland Park Blvd
Ste C
Sunrise, FL 33351
Phone (561) 404-1422

3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1497830897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-452-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-452-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "IVAN",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME50619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.