Individual provider Active NPI

Tatyana Aliyeva, MD

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1992191407
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME138306 Issued in FL
Practice address
4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506
Phone
(561) 498-5660
Fax
(561) 498-0753
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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 ME138306 FL Primary

Addresses

Primary practice location

4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506

Mailing address

4800 Linton Blvd Ste F107
Delray Beach, FL 33445-6506
Phone (561) 498-5660

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
I20190201001674 FL Practitioner - Internal Medicine 7810234614 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138306FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Management Group of Hallandale, Inc. Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Personal Physician Care P a Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Jupiter Internal Medicine Associates P a Internal Medicine CurrentSince Sep 7, 2021 Accepting new patients
House Call Specialists LLC Internal Medicine CurrentSince Mar 24, 2022 Accepting new patients

Locations

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

2100 E Hallandale Beach Blvd
Ste 307
Hallandale Beach, FL 33009
Phone (954) 454-7400

600 University Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 331-1996

Interoperability endpoints

  • Direct secure messaging: taliyeva19234@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIAJBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1992191407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456506",
            "telephone_number": "561-498-5660",
            "fax_number": "561-498-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD STE F107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456506",
            "telephone_number": "561-498-5660",
            "fax_number": "561-498-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIYEVA",
        "first_name": "TATYANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME138306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.