Individual provider Active NPI

Javier Chiriboga

  • Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1811352669
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007504 Issued in FL
Practice address
1881 N University Dr Ste 110
Coral Springs, FL 33071-6094
Phone
(954) 840-0530
Fax
(954) 840-3570
NPI assigned
Dec 22, 2015
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11007504 FL Primary

Addresses

Primary practice location

1881 N University Dr Ste 110
Coral Springs, FL 33071-6094

Mailing address

1881 N University Dr Ste 100
Coral Springs, FL 33071-6093
Phone (954) 840-0530

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708000685 FL Practitioner - Nurse Practitioner 4385067453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multispecialtyhealthcare LLCGroup PAC ID 7012347347, 7 clinicians
Marc J Hirsh MD PAGroup PAC ID 4183706682, 8 clinicians

Practice addresses (Care Compare)

1001 Wynmoor Cir
120 Multimed Wynmoor
Coconut Creek, FL 33066-1407
Phone (954) 840-0530

14610 S Military TRL
Suite G3
Delray Beach, FL 33484-3801
Phone (561) 819-3100

1480 N University Dr
Coral Springs, FL 33071-6040
Phone (954) 840-0530

1881 N University Dr
Suite 100
Coral Springs, FL 33071-6040
Phone (954) 840-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11007504FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marc J Hirsh MD PA Multi-Specialty CurrentSince Jun 15, 2020 Accepting new patients

Locations

14610 S Military Trl
Ste G3
Delray Beach, FL 33484
Phone (561) 819-3100

15300 S Jog Rd
Ste 101
Delray Beach, FL 33446
Phone (561) 734-4545

Interoperability endpoints

  • Direct secure messaging: javier.chiriboga.p1@direct.arcshare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1811352669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716093",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 N UNIVERSITY DR STE 110",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716094",
            "telephone_number": "954-840-0530",
            "fax_number": "954-840-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRIBOGA",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.