Latia Holder Ilyadis, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12261 Issued in FL

Practice address

9301 Highway A1A Ste 202
Vero Beach, FL 32963-5602

Phone

(772) 205-6361

Fax

(772) 410-5477

NPI assigned

Aug 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Latia Holder Former name

Medicare fee-for-service enrollment

Enrolled in NC, FL, IN, VA4 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 4

Specialty

Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: latia.ilyadis@446402826076164.direct.elationemr.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GCAJCD

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.

• Island Health Concierge Medicine, Inc

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1689353609
  Medicare reassignment NPD Authorized official
• Solace Health Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Redwood City, CA
  • NPI 1801669924

  IN, NC, VA

  Medicare reassignment Care Compare group NPD
• Rose Urology, LLC

  • Urology Physician
  • Vero Beach, FL
  • NPI 1861123697
  NPD

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

• Indian River Memorial Hospital Inc

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1861658650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643608",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329643608",
            "telephone_number": "772-205-6361",
            "fax_number": "772-410-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 HIGHWAY A1A STE 202",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635602",
            "telephone_number": "772-205-6361",
            "fax_number": "772-410-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILYADIS",
        "first_name": "LATIA",
        "middle_name": "HOLDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12261",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS12261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATIA",
            "last_name": "HOLDER",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniela Andreina Ibarra, ARNP PMHNP-BC FNP-C
• Ibelieve Maternal Wellness & Counseling Center, Inc
• John Ickowski
• Adriana Iglesias
• Lubka B. Ilieva, D.O.
• Imagine Schools at South Vero
• Indian River Assisting Services PA
• Indian River Cardiac Rehab Inc
• Indian River Cardiology PA
• Indian River Coordinators

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, 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 Jul 19, 2023; 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.