Elena V. Pimanova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

071614 Issued in GA

Practice address

3250 Meridian Pkwy
Weston, FL 33331-3502

Phone

(954) 659-5867

Fax

(954) 659-5868

NPI assigned

Apr 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epimanova1337990@direct.ccf.org

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.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  Medicare reassignment Care Compare group
• MPPG, Inc.

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1033131172

  Internal Medicine

  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• MPPG, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Savannah, GA
  • NPI 1073680070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cleveland Clinic Weston Hospital Nonprofit Corporation

  • General Acute Care Hospital
  • Weston, FL
  • NPI 1083644033
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1710278445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MULBERRY BLVD STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314073507",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 MERIDIAN PKWY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313502",
            "telephone_number": "954-659-5867",
            "fax_number": "954-659-5868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6602 Waters Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314062778",
            "country_code": "US",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Mulberry Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314073507",
            "country_code": "US",
            "telephone_number": "912-350-6000",
            "fax_number": "912-350-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMANOVA",
        "first_name": "ELENA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "071614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137669A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003137669B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1612",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01311093",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Leon Pick, MD
• Stanley Phillip Pierre, MD
• Keysha Ivelisse Pietri Mattei, MD
• Maria Louise Pilkington, L.M.T.
• Robert Armando Piloto, M.D.
• Ronnie Pimentel, M.D.
• Neelah Pincus, LCSW
• Veronica Beatriz Pineiro
• Jorge Pinero, DDS
• Michael Pinlac, CAA

• Internal Medicine Physician in Weston, FL
• Providers in Weston, 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 Aug 28, 2024; 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.