IVY BOYDSTUN (MD) – Pediatric Nephrology Physician, NPI 1285671628
Pediatric Nephrology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IVY BOYDSTUN (MD)
900 Glades Rd Ste 501
Boca Raton, FL 334316421
Phone: (954) 265-9344
Fax: (954) 986-5122
Type: Location
2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States
DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5685
Fax: (954) 985-7074
Type: Mailing
North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States
HOLLYWOOD, FL 33021
Phone: (954) 265-9344
Fax: (954) 986-5122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080814000381 | I | Nephrology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Cardiac Surgery, Thoracic Surgery | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| - | FL | |
| Family Practice | CO |
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