Individual provider Active NPI

Liat Nadav Dagan, MD

  • Medical Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1518167451
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
105551 Issued in FL
Practice address
701 NW 13TH St FL 2
Boca Raton, FL 33486-2305
Phone
(561) 955-6400
Fax
(561) 955-6618
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME105551 FL
Hematology & Oncology Physician 207RH0003X 105551 FL
Medical Oncology Physician 207RX0202X 105551 FL Primary

Addresses

Primary practice location

701 NW 13TH St FL 2
Boca Raton, FL 33486-2305

Mailing address

6282 Linton Blvd
Delray Beach, FL 33484-6416
Phone (561) 495-8307

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
I20120917000210 FL Practitioner - Hematology 8426206475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRRH Oncology, LLCGroup PAC ID 4082612999, 29 clinicians

Practice addresses (Care Compare)

6282 Linton Blvd
Delray Beach, FL 33484-6416
Phone (561) 495-8307

701 NW 13TH St
FL 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105551FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BRRH Oncology LLC Hematology & Oncology CurrentSince Mar 1, 2015 Accepting new patients
The Center for Hematology Oncology PastSince Feb 24, 2022 Accepting new patients

Locations

701 NW 13th St
Fl 2
Boca Raton, FL 33486
Phone (561) 955-6400

6282 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-8307

Interoperability endpoints

  • Direct secure messaging: ldagan@brrh.direct.varian.com

Organizations & group practices 2

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 3

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1518167451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846416",
            "telephone_number": "561-495-8307",
            "fax_number": "561-495-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST FL 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-6400",
            "fax_number": "561-955-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGAN",
        "first_name": "LIAT",
        "middle_name": "NADAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME105551",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "105551",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "105551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.