DR. IGOR NICHIPORENKO (M.D.) – Surgery Physician, NPI 1700104874

DR. IGOR NICHIPORENKO (M.D.) is a healthcare provider. based in Fort lauderdale, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME107033 (FL). The NPI Number for DR. IGOR NICHIPORENKO (M.D.) is 1700104874

Main info

Male
Sole Proprietor
21 Years Of Experience
Name
DR. IGOR NICHIPORENKO (M.D.)
NPI
1700104874
Phone
(954) 210-4120
Address
2006 NE 49TH ST
Enumeration Date
13 May 2010
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544910900
Graduation Year
2005 (21 years ago)
PAC ID
3072783950
Group Practice PAC ID
0042457038
Professional Enrollment ID
I20110901000295
Address ID
FL333162510FO1600XAVEX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. IGOR NICHIPORENKO (M.D.)

  • 2006 NE 49TH ST

    FORT LAUDERDALE, FL 333084524

    Phone: (954) 210-4120

    Fax: (954) 958-0221

    Type: Mailing

  • 3911 NE 25TH AVE

    LIGHTHOUSE POINT, FL 330648035

    Phone: (954) 495-1814

    Type: Mailing

  • 601 E SAMPLE RD STE 601

    POMPANO BEACH, FL 330644443

    Phone: (954) 825-7196

    Type: Location

  • 5352 Linton Blvd

    Delray Beach, FL 334846514

    Phone: (561) 498-4440

    Type: Location

  • 1600 S Andrews Ave

    Fort Lauderdale, FL 333162510

    Phone: (954) 355-4400

    Type: Location

  • 2800 E COMMERCIAL BLVD STE 102

    FORT LAUDERDALE, FL 333084202

    Phone:

    Type: Mailing

  • 201 E SAMPLE RD

    DEERFIELD BEACH, FL 330643502

    Phone: (954) 941-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110901000295IGeneral SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes237151$0
99291Critical care, first 30-74 minutes9154$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8256$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7878$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 33308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042457038View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)FL
General Surgery, Critical Care (Intensivists)FL
General Surgery, Critical Care (Intensivists)NV
General Surgery, Critical Care (Intensivists)FL
-FL
Critical Care (Intensivists), General SurgeryFL

Reviews

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Frequently asked questions

How do I look up DR. IGOR NICHIPORENKO (M.D.) by NPI?
Use NPI 1700104874 when you need to reference DR. IGOR NICHIPORENKO (M.D.) in forms, claims, or directories.
Is DR. IGOR NICHIPORENKO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. IGOR NICHIPORENKO (M.D.)?
The page reflects Surgery Physician for DR. IGOR NICHIPORENKO (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. IGOR NICHIPORENKO (M.D.)'s primary listing?
We display Fort Lauderdale, Florida because that is what the record indicates for DR. IGOR NICHIPORENKO (M.D.).
How can I contact DR. IGOR NICHIPORENKO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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