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DR. TATIANA PEREZ IVAN M.D.
NPI 1649508342
Family Medicine in Miami Beach, FL

Active since November 18, 2009Opted out of Medicare · through Apr 1, 2028
1111 LINCOLN RD STE 301, MIAMI BEACH, FL 33139(305) 703-7633(305) 703-7662 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tatiana Perez Ivan M.d. NPPES

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

DR. TATIANA PEREZ IVAN M.D. (NPI 1649508342) is an individual family medicine provider in Miami Beach, Florida, licensed in Florida (ME120389) and active in the NPI registry since November 2009. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649508342
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TATIANA PEREZ IVANCredential: M.D.
Location Address1111 LINCOLN RD STE 301Miami Beach, FL 33139-2409
Mailing Address1111 Lincoln Rd Ste 301Miami Beach, FL 33139-2409 · (305) 703-7633
Phone(305) 703-7633
Fax(305) 703-7662
Sole ProprietorYes
Enumeration DateNovember 18, 2009
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1649508342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME120389
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.
1111 LINCOLN RD STE 301, Miami Beach, FL 33139
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Tatiana Perez Ivan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$78.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN KAGAN M.D.
Pediatrics
1111 LINCOLN RD STE 301
MIAMI BEACH, FL 33139
Miami-Dade County (305) 703-7633

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 Tatiana Ivan's NPI number?

The NPI number for Tatiana Ivan is 1649508342. It was assigned to this individual provider in the NPPES registry on November 18, 2009.

Where is Tatiana Ivan located?

Tatiana Ivan practices at 1111 Lincoln Rd Ste 301, Miami Beach, FL 33139. The listed phone number is (305) 703-7633.

What is Tatiana Ivan's specialty?

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

Is Tatiana Ivan enrolled in Medicare?

No. Tatiana Ivan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tatiana Ivan was last updated on March 19, 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.