INNOVATIVE DIABETIC SOLUTIONS PLLC
NPI 1124712054
Family Medicine in Boca Raton, FL

Q: What is Innovative Diabetic Solutions PLLC's NPI number?

The NPI number for Innovative Diabetic Solutions PLLC is 1124712054. It was assigned to this organization in the NPPES registry on June 5, 2023.

Q: What is Innovative Diabetic Solutions PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 05, 2023

660 GLADES RD STE 240, BOCA RATON, FL 33431(561) 368-2005(561) 338-2178 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2024, Apr 29, 2024, Sep 1, 2023 and 1 more (4 updates tracked since 2023).

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About Innovative Diabetic Solutions Pllc NPPES

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

INNOVATIVE DIABETIC SOLUTIONS PLLC (NPI 1124712054) is a healthcare organization registered as a family medicine in Boca Raton, Florida and active in the NPI registry since June 2023. The organization lists Richard Alexis Conlen, Owner, as its authorized official.

NPPES Registry Identity

NPI1124712054

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINNOVATIVE DIABETIC SOLUTIONS PLLC

Location Address660 GLADES RD STE 240Boca Raton, FL 33431-6466

Mailing Address4317 Intracoastal DriveHighland Beach, FL 33487 · (561) 715-2493 · Fax (561) 338-2176

Phone(561) 368-2005

Fax(561) 338-2178

Organization SubpartNo

Authorized OfficialRichard Alexis ConlenOwner · (561) 368-2005

Enumeration DateJune 5, 2023

Last NPPES UpdateJuly 26, 20244 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1124712054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

660 GLADES RD STE 240, Boca Raton, FL 33431

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Diabetic Solutions Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovative Diabetic Solutions PLLC, 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)

Richard Conlen, MD

Obstetrics/Gynecology

NPI 1942260781

660 GLADES RD STE 240
Boca Raton, FL 33431

(561) 368-2005

✔ PECOS✔ Accepts MedicareSame address

Pauline Cole, NP

Nurse Practitioner

NPI 1376526202

3651 FAU BLVD STE 100
Boca Raton, FL 33431

(561) 409-1767

✔ PECOS1.4 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 Innovative Diabetic Solutions PLLC's NPI number?

The NPI number for Innovative Diabetic Solutions PLLC is 1124712054. It was assigned to this organization in the NPPES registry on June 5, 2023.

Where is Innovative Diabetic Solutions PLLC located?

Innovative Diabetic Solutions PLLC is located at 660 Glades Rd Ste 240, Boca Raton, FL 33431. The listed phone number is (561) 368-2005.

What is Innovative Diabetic Solutions PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Innovative Diabetic Solutions PLLC enrolled in Medicare?

Yes. Innovative Diabetic Solutions PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Diabetic Solutions PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Innovative Diabetic Solutions PLLC, in Nurse Practitioner and Obstetrics/Gynecology. 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.

When was this NPI record last updated?

The NPPES record for Innovative Diabetic Solutions PLLC was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.