Organization Active NPI

Noel L. Elgut MD

  • Medical Specialty Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1558966309
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NOEL L. ELGUT MD
Practice address
6333 N Federal Hwy Ste 401
Fort Lauderdale, FL 33308-1909
Phone
(954) 463-4761
Fax
(954) 463-4763
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mrs. Leelah Champion
Title
Practice Administrator
Phone
(954) 463-4761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

6333 N Federal Hwy Ste 401
Fort Lauderdale, FL 33308-1909

Mailing address

6333 N Federal Hwy Ste 401
Fort Lauderdale, FL 33308-1909
Phone (954) 463-4761

Other identifiers 2

IdentifierTypeStateIssuer
106747100MedicaidFL
063637100MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nelgut@lasolas.emadirect.md Health Information Exchange (HIE)
Direct Messaging Address cott@lasolas.emadirect.md Direct
Direct Messaging Address cott@lasolas.emadirect.md Health Information Exchange (HIE)

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2087605Noel Elgut MD6333 N Federal Hwy Ste 401, Fort Lauderdale, FL 33308Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: cott@lasolas.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1558966309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY STE 401",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081909",
            "telephone_number": "954-463-4761",
            "fax_number": "954-463-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY STE 401",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081909",
            "telephone_number": "954-463-4761",
            "fax_number": "954-463-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL L. ELGUT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "LEELAH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-463-4761",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106747100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063637100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nelgut@lasolas.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6333 N Federal Hwy Ste 401",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cott@lasolas.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6333 N Federal Hwy Ste 401",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cott@lasolas.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6333 N Federal Hwy Ste 401",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.