Individual provider Active NPI

Evlyn Isabel Eickhoff, MD

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1710417308
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME163706 Issued in FL
Practice address
12515 Orange Dr Ste 804
Davie, FL 33330-4309
Phone
(239) 428-7210
Fax
(844) 670-3932
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 71959 WI
Student in an Organized Health Care Education/Training Program 390200000X NM
Internal Medicine Physician 207R00000X ME163706 FL Primary

Addresses

Primary practice location

12515 Orange Dr Ste 804
Davie, FL 33330-4309

Mailing address

12515 Orange Dr Ste 804
Davie, FL 33330-4309
Phone (239) 428-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, 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

Enrollment IDStateProvider typePAC IDDetails
I20200629000392 WI Practitioner - HospitalistPractitioner - Internal Medicine 0143594051 Reassigns benefits to 3 organizations
I20241007004069 FL Practitioner - Internal Medicine 0143594051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.72 of 100Reported as group
Quality
64.71
Promoting interoperability
100
Improvement activities
40
Cost
65.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163706FLMDInternal Medicine Physician
71959WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 20, 2020 Accepting new patients
Evlyn Eickhoff, M.D., PLLC. Internal Medicine CurrentSince Aug 25, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 20, 2020 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Jul 20, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 20, 2020 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Oct 1, 2024 Accepting new patients

Locations

12515 Orange Dr
Ste 804
Davie, FL 33330
Phone (239) 428-7210

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: evlyn.eickhoff.1@33641.direct.athenahealth.com
  • Direct secure messaging: evlyn.eickhoff@marshfieldclinichealthsystem.cernerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1710417308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 804",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "239-428-7210",
            "fax_number": "844-670-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 ORANGE DR STE 804",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304309",
            "telephone_number": "239-428-7210",
            "fax_number": "844-670-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKHOFF",
        "first_name": "EVLYN",
        "middle_name": "ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "71959",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.