NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER
NPI 1003306093
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Coconut Creek, FL
About Nicklaus Children's Coconut Creek Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKLAUS CHILDREN'S COCONUT CREEK CARE CENTER (NPI 1003306093) is a healthcare organization registered as a pediatric orthopaedic surgery in Coconut Creek, Florida and active in the NPI registry since May 2018. The organization lists Raiza Beatriz Vidaurrazaga, Sr. Provider Relations Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicklaus Children's Coconut Creek Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
85Medicare enrollment records show 85 clinicians reassign Medicare billing to Nicklaus Children's Coconut Creek Care Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 85Source: 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 Pediatric Specialty Group, Inc's NPI number?
The NPI number for Pediatric Specialty Group, Inc is 1003306093. It was assigned to this organization in the NPPES registry on May 15, 2018. The provider is doing business as Nicklaus Children's Coconut Creek Care Center.
Where is Pediatric Specialty Group, Inc located?
Pediatric Specialty Group, Inc is located at 6370 N State Road 7 Ste 100, Coconut Creek, FL 33073. The listed phone number is (954) 321-7762.
What is Pediatric Specialty Group, Inc's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
Is Pediatric Specialty Group, Inc enrolled in Medicare?
Yes. Pediatric Specialty Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Specialty Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 23 Medicare specialties reassign their Medicare billing to Pediatric Specialty Group, Inc. 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. The largest specialties are Anesthesiology (9), Pediatric Medicine (9) and Cardiovascular Disease (Cardiology) (8). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pediatric Specialty Group, Inc accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatric Specialty Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pediatric Specialty Group, Inc was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Nicklaus Children's Coconut Creek Care Center · NPI 1003306093
Pediatric Orthopaedic Surgery organization in Coconut Creek, Florida. Organization record, active in the CMS NPPES registry since May 15, 2018.
## Identity
- **NPI:** 1003306093 (Entity type: Organization)
- **Enumerated:** May 15, 2018
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **Legal business name:** Pediatric Specialty Group, Inc
- **Organization subpart:** No
- **Authorized official:** Raiza Vidaurrazaga, SR. PROVIDER RELATIONS SPECIALIST
## Practice location
- **Address:** 6370 N STATE ROAD 7 STE 100, Coconut Creek, FL 33073
- **Phone:** (954) 321-7762 · **Fax:** (954) 321-9596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 85 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (9), Pediatric Medicine (9), Cardiovascular Disease (Cardiology) (8); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1003306093/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2018
- **Other identifiers:** Medicaid 010060900 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1003306093) · Data from the CMS NPPES public registry.