Individual provider Active NPI

Diana Gorokhovsky, D.O.

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1982728705
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 9963 Issued in FL
Practice address
8767 Boynton Beach Blvd
Boynton Beach, FL 33472-4479
Phone
(561) 734-5484
Fax
(561) 734-5485
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 9963 FL Primary

Addresses

Primary practice location

8767 Boynton Beach Blvd
Boynton Beach, FL 33472-4479

Mailing address

8767 Boynton Beach Blvd
Boynton Beach, FL 33472-4479
Phone (615) 734-5484

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
I20080903000514 FL Practitioner - Family Practice 1052487741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Idl Medical PAGroup PAC ID 6204902992, 2 clinicians

Practice addresses (Care Compare)

1700 W Woolbright Rd
1 Cora Physical Therapy Boynton Beach
Boynton Beach, FL 33426-6346
Phone (561) 336-0112

8767 Boynton Beach Blvd
Boynton Beach, FL 33472-4479
Phone (305) 788-5539

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Enhabit Home Health of Bethesda Home health agency, Boynton Beach, FL, CCN 107214
  • Palm Beach Home Health Agency Home health agency, Boca Raton, FL, CCN 109773
  • Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 9963FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idl Medical PA Family Medicine CurrentSince Sep 1, 2008 Accepting new patients
My Blood Work, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

8767 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (305) 788-5539

10075 S Jog Rd
Ste 101
Boynton Beach, FL 33437
Phone (561) 652-8652

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1982728705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724479",
            "telephone_number": "615-734-5484",
            "fax_number": "561-734-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724479",
            "telephone_number": "561-734-5484",
            "fax_number": "561-734-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOROKHOVSKY",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 9963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.