Island Health Concierge Medicine, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ISLAND HEALTH CONCIERGE MEDICINE, INC

Doing business as

Island Health Concierge Medicine

Practice address

9301 Highway A1A Ste 202
Vero Beach, FL 32963-5602

Phone

(772) 205-6361

Fax

(772) 410-5477

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latia H Ilyadis, DONPI 1861658650

Title

Owner

Phone

(518) 763-6969

Specialties & licenses 2

Addresses

Other names 1

• Island Health Concierge Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latia Holder Ilyadis, D.O.

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1861658650
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1689353609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643608",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329643608",
            "telephone_number": "518-763-6969",
            "fax_number": "772-410-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 HIGHWAY A1A STE 202",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635602",
            "telephone_number": "772-205-6361",
            "fax_number": "772-410-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HEALTH CONCIERGE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "ILYADIS",
        "authorized_official_first_name": "LATIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-763-6969",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Health Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Theresa Introcaso, LCSW
• Suzanne Victoria Ions, BS
• Ir Health Centers LLC
• Irecovery, LLC (iRecoveryUSA)
• Irene Rahman-Garcia MD PA
• Island Pediatrics
• Orit Israel, PT
• Salomon Israel, DDS
• J Robin Atwell,MD PA
• J Surani PA

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.