Individual provider Active NPI

Yvrose Archange, MD

  • Internal Medicine Physician
  • Greenacres, FL
National Provider Identifier
1902049216
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME105960 Issued in FL
Practice address
4849 Lake Worth Road
Greenacres, FL 33463
Phone
(561) 433-4446
Fax
(561) 433-3026
NPI assigned
Apr 16, 2009
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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 ME105960 FL Primary

Addresses

Primary practice location

4849 Lake Worth Road
Greenacres, FL 33463

Mailing address

4849 Lake Worth Road
Greenacres, FL 33463
Phone (561) 433-4446

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
I20100831000088 FL Practitioner - Internal Medicine 9830213677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4010 NW 34TH St
Lauderdale Lakes, FL 33319-5721
Phone (919) 360-0853

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105960FLMDInternal Medicine Physician

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

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1902049216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH ROAD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH ROAD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33463",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHANGE",
        "first_name": "YVROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.