Ibiza Nevares, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME71574 Issued in FL

Practice address

7100 W Commercial Blvd
Suite 105
Lauderhill, FL 33319

Phone

(954) 578-2292

Fax

(954) 578-2330

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Merit-based Incentive Payment System (MIPS)

Final score

85.11 of 100Reported as group

Quality

70.72

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: inevares4160507@adventhealth.direct-ci.com

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.

• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1659340693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-578-2292",
            "fax_number": "954-578-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD",
            "address_2": "SUITE 105",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-578-2292",
            "fax_number": "954-578-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVARES",
        "first_name": "IBIZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME71574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMED",
            "identifier": "263726",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263797900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41618A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nena'S on the Lake, Alf
• Jahmel Nerestant
• Netty'S Homecare, Inc.
• Netty'S Homecare, Inc.
• Neurological Testing Centers of America, Inc.
• New Beginning DSH Inc
• New Beginnings Rehabilitation Services, Inc.
• Diane M Newman, PT
• Nexus Biotech Labs LLC
• Hieu Nguyen, OD

• Physical Medicine & Rehabilitation Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.