IVY BOYDSTUN MD
NPI 1285671628
Pediatrics - Pediatric Nephrology in Hollywood, FL

NPI Status: Active since June 02, 2006

Contact Information

1131 N 35TH AVE FL 2
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-9344
Fax: (954) 986-5122

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Nephrology
Accepts Insurance
PECOS Enrolled

About IVY BOYDSTUN

This page provides the complete NPI Profile along with additional information for Ivy Boydstun, a pediatrician established in Hollywood, Florida with a medical specialization in Pediatrics, focusing in pediatric nephrology . The healthcare provider is registered in the NPI registry with number 1285671628 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0210X with license number ME101007 (FL). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1285671628
Provider Name: IVY BOYDSTUN MD
Gender: Female
Entity Type: Individual
Location Address: 1131 N 35TH AVE FL 2 HOLLYWOOD, FL 33021
Location Phone: (954) 265-9344
Location Fax: (954) 986-5122
Mailing Address: 2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
Mailing Phone: (954) 276-5685
Mailing Fax: (954) 986-5122
Is Sole Proprietor?: No
Enumeration Date: 06-02-2006
Last Update Date: 03-17-2021
Code Navigator

A pediatrician like Ivy Boydstun is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

900 Glades Rd Ste 501
Boca Raton, FL 33431
(954) 265-9344

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Nephrology
Taxonomy Code: 2080P0210X
Type: Allopathic & Osteopathic Physicians
License No.: ME101007
License State: FL
Taxonomy Description: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

AvMed

AvMed Entrust Bronze 600 (2025) - HMO
AvMed Entrust Bronze 650 (2025) - HMO
AvMed Entrust Expanded Bronze Standard (2025) - HMO
AvMed Entrust Gold 125 (2025) - HMO
AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
AvMed Entrust Gold Standard (2025) - HMO
AvMed Entrust Platinum 25 (2025) - HMO
AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
AvMed Entrust Platinum Standard (2025) - HMO
AvMed Entrust Silver 350 (2025) - HMO
AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
AvMed Entrust Silver 550 (2025) - HMO
AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
AvMed Entrust Silver Standard (2025) - HMO

Cigna Healthcare

Connect Bronze 0 Indiv Med Deductible - EPO
Connect Bronze 5500 Indiv Med Deductible - EPO
Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze CMS Standard - EPO
Connect Gold 2000 Indiv Med Deductible - EPO
Connect Gold 800 Indiv Med Deductible - EPO
Connect Gold CMS Standard - EPO
Connect Silver 3600 Indiv Med Deductible - EPO
Connect Silver 4300 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO
Silver 9 - HMO

Oscar Insurance Company of Florida

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver Plus - EPO
Gold Classic Standard - EPO
Gold Elite - EPO
Gold Elite Saver Plus - EPO
Secure - EPO
Silver Classic Standard - EPO
Silver Elite - EPO
Silver Simple Chronic Care CKM - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Bronze Standard - HMO
UHC Bronze Value ($0 Virtual Urgent Care) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Standard - HMO
UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
UHC Silver Standard - HMO
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
000070000	MEDICAID (05)	FL

Medicare Participation & PECOS Enrollment Status

Ivy Boydstun is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	8	5	6	7	1	6	2	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	12	7	2	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 2 + 6 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1285671628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.