ISRAEL MACHIN MD PA
NPI 1104989342
General Practice in Lake Clarke Shores, FL

Active since December 19, 2006CLIA 10D1104600 · Waiver
1511 FOREST HILL BLVD, SUITE C, LAKE CLARKE SHORES, FL 33406(561) 433-3556(561) 967-5559 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Israel Machin Md Pa NPPES

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

ISRAEL MACHIN MD PA (NPI 1104989342) is a healthcare organization registered as a general practice in Lake Clarke Shores, Florida and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Israel Machin, Owner, as its authorized official.

NPPES Registry Identity

NPI1104989342
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameISRAEL MACHIN MD PA
Location Address1511 FOREST HILL BLVD, SUITE CLake Clarke Shores, FL 33406-6077
Mailing Address1511 Forest Hill Blvd, Suite CLake Clarke Shores, FL 33406-6077 · (561) 433-3556 · Fax (561) 967-5559
Fax(561) 967-5559
Organization SubpartNo
Authorized OfficialIsrael MachinOwner · (561) 433-3556
Enumeration DateDecember 19, 2006
Last NPPES UpdateJune 30, 2008
✔ NPI 1104989342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1511 FOREST HILL BLVD, Lake Clarke Shores, FL 33406

Other Identifiers 2

OtherAB648FL · Medicare Group
Medicare UPINH78110FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20070416000179Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Israel Machin MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1316302789
1511 FOREST HILL BLVD STE 3
Lake Clarke Shores, FL 33406
(561) 433-3556
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295711349
1511 FOREST HILL BLVD SUITE C
Lake Clarke Shores, FL 33406
(561) 433-3556
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568203818
1511 FOREST HILL BLVD STE C
Lake Clarke Shores, FL 33406
(561) 433-3556
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1396440764
6215 S DIXIE HWY
West Palm Beach, FL 33405
(561) 593-4880
✔ PECOS1.3 mi
Nurse Practitioner
NPI 1649017187
1851 W CHATHAM RD
West Palm Beach, FL 33415
(561) 255-0059
✔ PECOS✔ Accepts Medicare3.7 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1104600

Israel Machin MD PA · Lake Clarke Shores, FL
Active · expires Sep 3, 2027
CLIA Number10D1104600
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorYamirka Machin
Laboratory Phone(561) 433-3556
Laboratory LocationIsrael Machin MD PA1511 Forest Hill Blvd Ste C, Lake Clarke Shores, FL 33406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Israel Machin MD PA's NPI number?

The NPI number for Israel Machin MD PA is 1104989342. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Israel Machin MD PA located?

Israel Machin MD PA is located at 1511 Forest Hill Blvd Suite C, Lake Clarke Shores, FL 33406. The listed phone number is (561) 433-3556.

What is Israel Machin MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Israel Machin MD PA enrolled in Medicare?

Yes. Israel Machin MD PA is registered in the Medicare PECOS enrollment system.

When is Israel Machin MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Israel Machin MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Israel Machin MD PA. 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. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Israel Machin MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1104600) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Israel Machin MD PA accept?

Health plans from AvMed and Molina Healthcare list Israel Machin 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 Israel Machin MD PA was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.