Individual provider Active NPI

Yelena Zotova Bedard, M.D.

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1609007210
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME113862 Issued in FL
Practice address
9800 W Sample Rd
Coral Springs, FL 33065-4039
Phone
(954) 755-5504
Fax
(954) 755-7052
NPI assigned
Jul 30, 2009
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NJ
Family Medicine Physician 207Q00000X ME113862 FL Primary

Addresses

Primary practice location

9800 W Sample Rd
Coral Springs, FL 33065-4039

Mailing address

9800 W Sample Rd
Coral Springs, FL 33065-4039
Phone (954) 755-5504

Other names 1

  • Yelena Viktorana Zotova Former name

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
I20121017000492 FL Practitioner - Family Practice 4688824238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

9800 W Sample Rd
Optum Coral Springs
Coral Springs, FL 33065-4039
Phone (954) 755-5504

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113862FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 1, 2022 Accepting new patients
Senior Care Medical Ctr Current Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

9750 NW 33rd St
Ste 212
Coral Springs, FL 33065
Phone (954) 546-2688

9800 W Sample Rd
Coral Springs, FL 33065
Phone (954) 341-3739

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

2825 N State Road 7
Ste 204
Margate, FL 33063
Phone (954) 451-3002

5901 Colonial Dr
Ste 301
Margate, FL 33063
Phone (954) 935-1477

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 828-2370

Interoperability endpoints

  • Direct secure messaging: yelena.bedard@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1609007210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654039",
            "telephone_number": "954-755-5504",
            "fax_number": "954-755-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDARD",
        "first_name": "YELENA",
        "middle_name": "ZOTOVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "ZOTOVA",
            "middle_name": "VIKTORANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.