NPIMap

Individual provider Active NPI

Jelin N Israel-Cvik, M.D.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1679560122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0087520 Issued in FL
Practice address
5248 Red Cedar Dr
Suite 102
Fort Myers, FL 33907-4522
Phone
(239) 936-7171
Fax
(239) 936-7455
NPI assigned
Sep 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0087520 FL Primary

Addresses

Primary practice location

5248 Red Cedar Dr
Suite 102
Fort Myers, FL 33907-4522

Mailing address

5248 Red Cedar Dr
Suite 102
Fort Myers, FL 33907-4522
Phone (239) 936-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000675 FL Practitioner - Internal Medicine 6901792589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivan Cvik, MD, P.a.Group PAC ID 5294047205, 2 clinicians

Practice addresses (Care Compare)

13831 Metropolis Ave
Fort Myers, FL 33912-4452
Phone (239) 466-6855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0087520FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivan Cvik, MD, P.a. Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Cape Coral Hospitalists Inc Internal Medicine CurrentSince May 1, 2011 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine Current Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince Jul 14, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince Jul 14, 2015 Accepting new patients
Millennium Physician Group LLC Internal Medicine Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

13831 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 466-6855

13881 Eagle Ridge Dr
Fort Myers, FL 33912
Phone (239) 495-4000

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

Organizations & group practices 6

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 5

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679560122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522",
            "telephone_number": "239-936-7171",
            "fax_number": "239-936-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR",
            "address_2": "SUITE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522",
            "telephone_number": "239-936-7171",
            "fax_number": "239-936-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL-CVIK",
        "first_name": "JELIN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0087520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.