Organization Active NPI

Alphacare Clinics LLC

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1992386064
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALPHACARE CLINICS LLC
Practice address
10526 Wheelhouse Cir
Boca Raton, FL 33428-1214
Phone
(516) 462-6856
Fax
(855) 727-7299
NPI assigned
Apr 19, 2021
Last updated
Jun 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Dr. Ludger Eliacin, DONPI 1760845135
Title
President
Phone
(516) 462-6856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

10526 Wheelhouse Cir
Boca Raton, FL 33428-1214

Mailing address

10526 Wheelhouse Cir
Boca Raton, FL 33428-1214
Phone (516) 462-6856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812000661 FL Part B Supplier - Clinic/Group Practice 4183026040 Receives reassigned benefits from 1 practitioner
Practice locations: North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

3363 NE 163rd St
Ste 704
North Miami Beach, FL 33160
Phone (516) 462-6856

18004 NW 6th St
Ste 104
Pembroke Pines, FL 33029
Phone (516) 462-6856

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1992386064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10526 WHEELHOUSE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281214",
            "telephone_number": "516-462-6856",
            "fax_number": "855-727-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10526 WHEELHOUSE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281214",
            "telephone_number": "516-462-6856",
            "fax_number": "855-727-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHACARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "ELIACIN",
        "authorized_official_first_name": "LUDGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-462-6856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.