Individual provider Active NPI

Lior Uriel Elkayam, M.D.

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1598808180
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME103075 Issued in FL
Practice address
390 S State Road 7 Ste 249
Hollywood, FL 33023-6718
Phone
(954) 743-5522
Fax
(954) 743-5632
NPI assigned
Feb 14, 2007
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 236526 NY
Cardiovascular Disease Physician 207RC0000X ME103075 FL Primary

Addresses

Primary practice location

390 S State Road 7 Ste 249
Hollywood, FL 33023-6718

Mailing address

390 S State Road 7 Ste 249
Hollywood, FL 33023-6718
Phone (954) 743-5522

Other identifiers 2

IdentifierTypeStateIssuer
9361592OtherFLAETNA
002257600MedicaidFL

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
I20110104000342 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820287014 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236526NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Management Group of Hallandale, Inc. Internal Medicine CurrentSince Apr 5, 2021 Accepting new patients
Medical Specialty Group of South Florida LLC CurrentSince Apr 5, 2021 Accepting new patients
FWC Urogynecology, LLC Past Accepting new patients

Locations

4800 Linton Blvd
Ste F106
Delray Beach, FL 33445
Phone (561) 455-1334

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

2100 E Hallandale Beach Blvd
Ste 307
Hallandale Beach, FL 33009
Phone (954) 454-7400

Organizations & group practices 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1598808180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7 STE 249",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S STATE ROAD 7 STE 249",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236718",
            "telephone_number": "954-743-5522",
            "fax_number": "954-743-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKAYAM",
        "first_name": "LIOR",
        "middle_name": "URIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "236526",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME103075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9361592",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002257600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.