Dilan Kim Ipek

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11028243 Issued in FL

Practice address

4970 S US Highway 17/92
Casselberry, FL 32707-3888

Phone

(407) 635-8012

Fax

(407) 706-1777

NPI assigned

Sep 14, 2023

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer Surgery Center, LLCGroup PAC ID 3779866579, 10 clinicians

Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dermatology and Skin Cancer Surgery Center, LLC

  dba Orlando Dermatology Center

  • Dermatology Physician
  • Oviedo, FL
  • NPI 1174078281
  Medicare reassignment Care Compare group NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surq

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1083872535
  Medicare reassignment Care Compare group NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology and Cosmetic Surgery

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1902067671
  NPD
• Leavitt Medical Associates of Florida Inc

  dba Advanced Dermatology And Cosmetic Surgery

  • Dermatology Physician
  • Heathrow, FL
  • NPI 1528097284
  NPD (past)
• Lumen Dermatology LLC

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1235938341
  NPD (past)

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1952188633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 S US HIGHWAY 17/92",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073888",
            "telephone_number": "407-497-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 S US HIGHWAY 17/92",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073888",
            "telephone_number": "407-635-8012",
            "fax_number": "407-706-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Stirling Center Pl Unit 1931",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465209",
            "country_code": "US",
            "telephone_number": "407-436-7375",
            "fax_number": "407-986-9007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 S Alafaya Trl Ste 26",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288984",
            "country_code": "US",
            "telephone_number": "407-538-3855",
            "fax_number": "407-459-8732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7560 Red Bug Lake Rd Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656591",
            "country_code": "US",
            "telephone_number": "407-706-1770",
            "fax_number": "407-706-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPEK",
        "first_name": "DILAN",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Ice, ARNP
• Iceopedic LLC
• Infinite Love Counseling LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrative Access Health Services, LLC (Dugan Family Medicine)
• Lourdes Fulvy Isidore
• Enas Istefanous
• Ivonne Calcedo Senior Support LLC
• J.O.Y. Family Health Care LLC
• Enid Jackowitz, MA, LMHC, NCC

• Nurse Practitioner in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.