Individual provider Active NPI

Albert Starikov, D.O.

  • Obstetrics & Gynecology Physician
  • Hallandale Beach, FL
National Provider Identifier
1861588014
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS11645 Issued in FL
Practice address
1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009
Phone
(954) 204-0054
Fax
(954) 505-4491
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X OS11645 FL Primary

Addresses

Primary practice location

1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009

Mailing address

1920 E Hallandale Beach Blvd Ste 901
Hallandale Beach, FL 33009-4726
Phone (954) 204-0054

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130705000200 FL Practitioner - Obstetrics/Gynecology 2668479395 Reassigns benefits to 1 organization
Practice locations: Sunny Isles Beach, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Consultation LLC Multi-Specialty CurrentSince Sep 24, 2024 Accepting new patients

Locations

1920 E Hallandale Beach Blvd
Ste 901
Hallandale Beach, FL 33009
Phone (954) 204-0054

Organizations & group practices 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1861588014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 901",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094726",
            "telephone_number": "954-204-0054",
            "fax_number": "954-505-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E HALLANDALE BEACH BLVD STE 901",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "954-204-0054",
            "fax_number": "954-505-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARIKOV",
        "first_name": "ALBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS11645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.