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IVAN ESPAILLAT MD PA
NPI 1023037066
Specialist in Miami, FL

Active since July 19, 2006
12002 SW 128TH CT, SUITE 204, MIAMI, FL 33186(305) 255-1127(305) 255-1669 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivan Espaillat Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN ESPAILLAT MD PA (NPI 1023037066) is a healthcare organization registered as a specialist in Miami, Florida and active in the NPI registry since July 2006. The organization lists Ivan Espaillat, Md, as its authorized official.

NPPES Registry Identity

NPI1023037066
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIVAN ESPAILLAT MD PA
Location Address12002 SW 128TH CT, SUITE 204Miami, FL 33186-4639
Mailing AddressPo Box 440728Miami, FL 33144-0728 · (305) 255-1127 · Fax (305) 255-1669
Phone(305) 255-1127
Fax(305) 255-1669
Organization SubpartNo
Authorized OfficialIvan EspaillatMd · (305) 255-1127
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 17, 2007
✔ NPI 1023037066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME92158
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12002 SW 128TH CT, Miami, FL 33186
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedQ0265FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Espaillat Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ivan Espaillat MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ivan Espaillat, MD
Internal Medicine
NPI 1104817584
12002 SW 128TH CT SUITE 204
Miami, FL 33186
(305) 234-8264
✔ PECOS✔ Accepts MedicareSame address
Ignacio Medina, ARNP
Nurse Practitioner
NPI 1801371638
6129 SW 70TH ST
South Miami, FL 33143
(786) 516-5668
✔ PECOS7.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Espaillat MD PA's NPI number?

The NPI number for Ivan Espaillat MD PA is 1023037066. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Ivan Espaillat MD PA located?

Ivan Espaillat MD PA is located at 12002 SW 128th Ct Suite 204, Miami, FL 33186. The listed phone number is (305) 255-1127.

What is Ivan Espaillat MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ivan Espaillat MD PA enrolled in Medicare?

Yes. Ivan Espaillat MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivan Espaillat MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ivan Espaillat MD PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ivan Espaillat MD PA accept?

Health plans from AvMed list Ivan Espaillat MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Espaillat MD PA was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.