ID&WM LLC
NPI 1477303055
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fort Lauderdale, FL

Active since March 25, 2024
1328 SE 17TH ST, FORT LAUDERDALE, FL 33316(754) 777-1333 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Id&wm Llc NPPES

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

ID&WM LLC (NPI 1477303055), doing business as Endocrine Institute, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Fort Lauderdale, Florida and active in the NPI registry since March 2024. The organization lists Alexander Birukoff, Manager, as its authorized official.

NPPES Registry Identity

NPI1477303055
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameID&WM LLC
Location Address1328 SE 17TH STFort Lauderdale, FL 33316-1708
Mailing Address1328 Se 17th StFort Lauderdale, FL 33316-1708 · (754) 777-1333
Organization SubpartNo
Authorized OfficialAlexander BirukoffManager · (754) 777-1333
Enumeration DateMarch 25, 2024
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1477303055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1328 SE 17TH ST, Fort Lauderdale, FL 33316

Other Names 1

Doing Business AsEndocrine Institute

Other Identifiers 5

MedicaidST035FL
Medicaid1063775674FL
MedicaidST058FL
Medicaid1477303055FL
Medicaid1295597664FL

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)

Id&wm Llc 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 Id & wm LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1295597664
1328 SE 17TH ST
Fort Lauderdale, FL 33316
(754) 777-1333
✔ PECOSSame address
Endocrinology
NPI 1063775674
1500 NW 10TH AVE STE 205
Boca Raton, FL 33486
(561) 391-1085
✔ PECOS18 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 Id&wm LLC's NPI number?

The NPI number for Id&wm LLC is 1477303055. It was assigned to this organization in the NPPES registry on March 25, 2024. The provider is doing business as Endocrine Institute.

Where is Id&wm LLC located?

Id&wm LLC is located at 1328 SE 17th St, Fort Lauderdale, FL 33316. The listed phone number is (754) 777-1333.

What is Id&wm LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Id&wm LLC enrolled in Medicare?

Yes. Id&wm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Id&wm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Id&wm LLC, in Endocrinology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Id&wm LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.