Individual provider Active NPI

Vladimir Laroche, MD

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1669505905
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73112 Issued in FL
Practice address
161 JFK Dr
Atlantis, FL 33462-1119
Phone
(561) 540-1657
Fax
(561) 540-1659
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 19631401 NY
Internal Medicine Physician 207R00000X ME73112 FL Primary

Addresses

Primary practice location

161 JFK Dr
Atlantis, FL 33462-1119

Mailing address

161 JFK Dr
Atlantis, FL 33462-1119
Phone (561) 540-1657

Other practice location 1

1601 S Congress Ave # B
Delray Beach, FL 33445-6368
Phone (561) 276-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000623 FL Practitioner - Internal Medicine 4486545118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11211 SW 152ND St
Miami, FL 33157-1101

1300 Concord Terr
Suite 210
Sunrise, FL 33323-2899

2330 S Congress Ave
Palm Springs, FL 33406-7608

6101 Blue Lagoon Dr
Suite 400
Miami, FL 33126-2051

9275 152ND St
Suite 204
Miami, FL 33157

9275 SW 152ND St
Suite 100
Palmetto Bay, FL 33157-1773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19631401NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amicus Medical Center LLC CurrentSince Aug 28, 2021 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 354-4840

1601 S Congress Ave
Delray Beach, FL 33445
Phone (561) 272-0015

1601 S Congress Ave
#B
Delray Beach, FL 33445
Phone (561) 276-8444

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

5799 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 967-0234

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

1300 Concord Ter
Ste 210
Sunrise, FL 33323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vladimir.laroche.1@29601.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1669505905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-540-1657",
            "fax_number": "561-540-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-540-1657",
            "fax_number": "561-540-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 S Congress Ave # B",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334456368",
            "country_code": "US",
            "telephone_number": "561-276-8444",
            "fax_number": "561-276-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROCHE",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "19631401",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.