Individual provider Active NPI

Elisse Ariel Kavensky, MD

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1881190379
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME157689 Issued in FL
Practice address
14826 S Military TRL Ste 14826
Delray Beach, FL 33484-8153
Phone
(561) 272-1618
NPI assigned
Apr 3, 2018
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME157689 FL Primary

Addresses

Primary practice location

14826 S Military TRL Ste 14826
Delray Beach, FL 33484-8153

Mailing address

14826 S Military TRL Ste 14826
Delray Beach, FL 33484-8153
Phone (561) 272-1618

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elisse.kavensky.1@29601.direct.athenahealth.com

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
I20230725003176 FL Practitioner - Internal Medicine 8527429463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

14826 S Military TRL
Suite 14826
Delray Beach, FL 33484-8153
Phone (561) 496-5677

9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Phone (561) 488-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME157689FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Img Medical Group de PA Internal Medicine Past Accepting new patients

Locations

14826 S Military Trl
Ste 14826
Delray Beach, FL 33484
Phone (561) 272-1618

601 N Congress Ave
Ste 403
Delray Beach, FL 33445
Phone (561) 272-1618

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

Interoperability endpoints

  • Direct secure messaging: elisse.kavensky.1@29601.direct.athenahealth.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 6

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1881190379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14826 S MILITARY TRL STE 14826",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "561-272-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14826 S MILITARY TRL STE 14826",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848153",
            "telephone_number": "561-272-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVENSKY",
        "first_name": "ELISSE",
        "middle_name": "ARIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME157689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisse.kavensky.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "601 N Congress Ave Ste 403",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334454639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.