SOUTH BROWARD HOSPITAL DISTRICT
NPI 1003409301
Obstetrics & Gynecology in Hollywood, FL
About South Broward Hospital District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BROWARD HOSPITAL DISTRICT (NPI 1003409301), doing business as Memorial Division Of High Risk Obstetrics, is a healthcare organization registered as an obstetrics & gynecology in Hollywood, Florida and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 23, 2028, maintains a secondary practice location in Hollywood, and lists Esther Surujon, Cfo Memorial Physician Group Mpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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)
South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 36Ft Lauderdale, FL 33316
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2253809
South Broward Hospital District · Hollywood, FLFrequently 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 South Broward Hospital District's NPI number?
The NPI number for South Broward Hospital District is 1003409301. It was assigned to this organization in the NPPES registry on February 17, 2021. The provider is doing business as Memorial Division of High Risk Obstetrics.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 1150 N 35th Ave Ste 560, Hollywood, FL 33021. The listed phone number is (954) 265-2740.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is South Broward Hospital District enrolled in Medicare?
Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Broward Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 3 Medicare specialties reassign their Medicare billing to South Broward Hospital District. 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 Obstetrics/Gynecology (22), Certified Nurse Midwife (CNM) (12) and Nurse Practitioner (2). Of these, 1 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Broward Hospital District hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2253809) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does South Broward Hospital District accept?
Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AmeriHealth Caritas Next and 4 other insurers list South Broward Hospital District 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 South Broward Hospital District was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# South Broward Hospital District · NPI 1003409301
Obstetrics & Gynecology organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1003409301 (Entity type: Organization)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Also known as:** Memorial Division of High Risk Obstetrics (Doing Business As)
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MEMORIAL PHYSICIAN GROUP MPC
## Practice location
- **Address:** 1150 N 35TH AVE STE 560, Hollywood, FL 33021-5431
- **Phone:** (954) 265-2740 · **Fax:** (954) 276-0645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (22), Certified Nurse Midwife (CNM) (12), Nurse Practitioner (2); 1 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1003409301/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003409301) · Data from the CMS NPPES public registry.