Tim Ioannides, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0073425 Issued in FL

Practice address

140 SW Chamber CT
Suite 200
Port Saint Lucie, FL 34986-3496

Phone

(772) 878-3376

Fax

(772) 879-9970

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tim.ioannides.1@17433.direct.athenahealth.com
• Direct secure messaging: tioannides@tcdermatology.emadirect.md

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.

• Tim Ioannides MD LLC

  • Dermatology Physician
  • Port St Lucie, FL
  • NPI 1659339497
  Medicare reassignment NPD Authorized official
• Ioannides and Sanders Dermatology Associates LLC

  • Dermatology Physician
  • Port St Lucie, FL
  • NPI 1669653473
  NPD (past) Authorized official

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
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952369779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW CHAMBER CT",
            "address_2": "SUITE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863496",
            "telephone_number": "772-878-3376",
            "fax_number": "772-879-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SW CHAMBER CT",
            "address_2": "SUITE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863496",
            "telephone_number": "772-878-3376",
            "fax_number": "772-879-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOANNIDES",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0073425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "070012925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inner Balance Family Medicine, LLC
• Inner Restoration LLC
• Inner Wellness Centers of Florida, LLC
• Interim Healthcare of Treasure Coast, Inc.
• Intimate Care Assisted Living Experience LLC
• John R Istad, D.C.
• It'S Time to Care LLC
• Angelica Italiano, DO
• Lavetta S Ivey
• Jose Antonio Izquierdo Diaz, MD

• Dermatology Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.