Ivan Foster Ackerman, M.D
Individual provider Active NPI Pulmonary Disease Physician · Brandon, FL
NPI 1609836089 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1609836089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- ME48711 (FL)
- Practice address
- 402 Noland Dr
Brandon, FL 33511-5709 - Phone
- (813) 655-9000
- Fax
- (813) 655-7344
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- University Central del Caribe Escuela de Medicina, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tampa Bay Pulmonary Medicine, PA
Practice addresses (Care Compare)
402 Noland Dr
Brandon, FL 33511-5709
Phone (813) 655-2500
Hospital & facility affiliations
- South Florida Baptist Hospital
- St Josephs Hospital
- HCA Florida Brandon Hospital
- Tampa General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100803001103 | FL | Practitioner - Pulmonary Disease |
4486606845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampabay Pulmonary PA | Past |
Accepting new patients | |
| Bay Area Pulmonary Associates, P.a. | Pulmonary Disease | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME48711 | FL | Yes |
Addresses
Primary practice location
402 Noland Dr
Brandon, FL 33511-5709
Mailing address
402 Noland Dr
Brandon, FL 33511-5709
Phone (813) 655-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047044900 | Medicaid | FL |
Other providers in Brandon, FL
- Neveen Abuemaish
- Adriana Aburto Becerra
- Ac Staffing, Inc
- Accessible Care Solutions, Inc.
- Denys Acevedo
- Jesseanne Ackerman
- Atza M Acosta Feliciano
- Frances Jacinto Acosta
- Jorge Luis Acosta
- Active Adult Care, LLC
All providers in Brandon, FL · Pulmonary Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.