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DAVID R ANCONA MD PA
NPI 1013221092
Internal Medicine - Cardiovascular Disease in Pembroke Pines, FL

Active since August 02, 2010CLIA 10D0959058 · Waiver
603 N FLAMINGO RD, SUITE 365, PEMBROKE PINES, FL 33028(954) 432-1771(954) 432-2722 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David R Ancona Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R ANCONA MD PA (NPI 1013221092) is a healthcare organization registered as a cardiovascular disease in Pembroke Pines, Florida and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists David R Ancona, President, as its authorized official.

NPPES Registry Identity

NPI1013221092
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDAVID R ANCONA MD PA
Location Address603 N FLAMINGO RD, SUITE 365Pembroke Pines, FL 33028-1023
Mailing Address603 N Flamingo Rd, Suite 365Pembroke Pines, FL 33028-1023 · (954) 432-1771 · Fax (954) 432-2722
Phone(954) 432-1771
Fax(954) 432-2722
Organization SubpartNo
Authorized OfficialDavid R AnconaPresident · (954) 432-1771
Enumeration DateAugust 2, 2010
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1013221092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME0044382
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
603 N FLAMINGO RD, Pembroke Pines, FL 33028
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

David R Ancona Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David R Ancona MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

David Ancona, M.D.
Cardiovascular Disease (Cardiology)
NPI 1770579427
603 N FLAMINGO RD SUITE 365
Pembroke Pines, FL 33028
(954) 432-1771
✔ PECOS✔ Accepts MedicareSame address

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 10D0959058

David Ancona MD · Pembroke Pines, FL
Active · expires Mar 31, 2027
CLIA Number10D0959058
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDavid R. Ancona
Laboratory Phone(954) 432-1771
Laboratory LocationDavid Ancona MD603 North Flamingo Road Suite 365, Pembroke Pines, FL 33028
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 David R Ancona MD PA's NPI number?

The NPI number for David R Ancona MD PA is 1013221092. It was assigned to this organization in the NPPES registry on August 2, 2010.

Where is David R Ancona MD PA located?

David R Ancona MD PA is located at 603 N Flamingo Rd Suite 365, Pembroke Pines, FL 33028. The listed phone number is (954) 432-1771.

What is David R Ancona MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David R Ancona MD PA enrolled in Medicare?

Yes. David R Ancona MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David R Ancona MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to David R Ancona MD PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does David R Ancona MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0959058) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David R Ancona MD PA accept?

Health plans from AvMed list David R Ancona MD PA 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 David R Ancona MD PA was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.