Individual provider Active NPI

Fernando M Lopez-Ivern, M.D.

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1508881889
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 37131 Issued in FL
Practice address
9980 Central Park Blvd N
Suite 116
Boca Raton, FL 33428-1762
Phone
(561) 893-0651
Fax
(561) 893-0655
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 37131 FL Primary

Addresses

Primary practice location

9980 Central Park Blvd N
Suite 116
Boca Raton, FL 33428-1762

Mailing address

9980 Central Park Blvd N
Suite 116
Boca Raton, FL 33428-1762
Phone (561) 893-0651

Other identifiers 1

IdentifierTypeStateIssuer
040420900MedicaidFL

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
I20040710000313 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2860470309 Reassigns benefits to 4 organizations
Practice locations: Boca Raton, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9980 Central Park Blvd N
Suite 116
Boca Raton, FL 33428-1703
Phone (561) 448-1880

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • Menorah House Nursing home, Boca Raton, FL, CCN 105685
  • Encore at Boca Raton Rehabilitation and Nursing Ce Nursing home, Boca Raton, FL, CCN 105506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 37131FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Direct Inc Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Oracle Health Systems Inc CurrentSince Apr 16, 2018 Accepting new patients
Fernando M Lopez-Ivern MD Inc Internal Medicine CurrentSince Oct 21, 1998 Accepting new patients
Larkin Emergency Physicians LLC CurrentSince Aug 6, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Safe Place Cares Past Accepting new patients

Locations

9980 Central Park Blvd N
Ste 116
Boca Raton, FL 33428
Phone (561) 448-1880

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 6

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 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1508881889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-893-0651",
            "fax_number": "561-893-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N",
            "address_2": "SUITE 116",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281762",
            "telephone_number": "561-893-0651",
            "fax_number": "561-893-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-IVERN",
        "first_name": "FERNANDO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 37131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040420900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.