Active NPI
Igor Nichiporenko, M.D.
- Surgery Physician
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME 107033
- Practice address
- 201 E Sample Rd
Deerfield Beach, FL 33064-3502 - Phone
- (954) 941-8300
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | ME107033 | FL | |
| Specialist | 174400000X | ME107033 | FL | |
| Surgery Physician | 208600000X | ME 107033 | FL | Primary |
Addresses
Primary practice location
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Mailing address
2006 NE 49TH St
Fort Lauderdale, FL 33308-4524
Phone (954) 210-4120
Other practice location 1
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440
Other practice location 2
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004456500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Broward Health Medical Center
Fort Lauderdale, FL 33316-2510
Phone (954) 491-0900
Hospital & facility affiliations
- Broward Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 107033 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trauma and Critical Care Associates, LLC | Surgery | Current | Accepting new patients |
| Delray Trauma Associates, LLC | Specialist | Current | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166
2006 NE 49th St
Ft Lauderdale, FL 33308
Phone (954) 210-4120
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
2800 E Commercial Blvd
Ste 102
Ft Lauderdale, FL 33308
Phone (954) 491-0900
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.
-
- Surgery Physician
- Fort Lauderdale, FL
- NPI 1619498946
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1700104874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 NE 49TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084524",
"telephone_number": "954-210-4120",
"fax_number": "954-958-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E SAMPLE RD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643502",
"telephone_number": "954-941-8300"
}
],
"practiceLocations": [
{
"address_1": "5352 Linton Blvd",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334846514",
"country_code": "US",
"telephone_number": "561-498-4440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-355-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHIPORENKO",
"first_name": "IGOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME107033",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME107033",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME 107033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004456500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.