Individual Healthcare Provider
Ivan Mikolaenko, M.D.
Provider's NPPES record last updated: May 15, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023231883
- Primary Specialty
- Psychiatry & Neurology — Neurology
- Practice Location
- Coral Springs, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400X Psychiatry & Neurology
Vascular Neurology
Allopathic & Osteopathic Physicians
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Taxonomy code 2084V0102X
Provider-Reported License Information
- Psychiatry & Neurology (Florida)
- ME131780
- Psychiatry & Neurology (Virginia)
- 0116020711
- Psychiatry & Neurology (Virginia)
- 0109542061
- Psychiatry & Neurology (Virginia)
- 0116020711
Practice Locations
Practice Location
5441 N University Dr Ste 101
Coral Springs, Florida 33067-4640
Phone: (954) 803-9002
Additional Practice Location
100 Merrick Road Suite 128
Rockville Centre, New York 11570-0001
Phone: (516) 255-9031
Fax: (516) 766-2306
Additional Practice Location
1414 Se 3rd Ave
Ft Lauderdale, Florida 33316-1910
Phone: (954) 803-9002
Fax: (954) 933-2305
Additional Practice Location
8395 W Oakland Park Blvd Ste E-F
Sunrise, Florida 33351-7301
Phone: (954) 803-9002
Fax: (954) 933-2305
Record Information
- Enumeration Date
- April 10, 2007
- Provider's NPPES Record Last Updated
- May 15, 2025
- Certification Date
- May 15, 2025
- NPISignal NPPES Dataset
- August 2026
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