RAIZA EXANTUS MD
NPI 1013412097
Medical Genetics - Clinical Genetics (M.D.) in Hollywood, FL

NPI Status: Active since March 29, 2018

Contact Information

1131 N 35TH AVE FL 2
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-6319
Fax: (954) 276-0166

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  • Individual
  • Female
  • Years of Experience 8
  • Medical Genetics
  • Clinical Genetics (M.D.)
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RAIZA EXANTUS

This page provides the complete NPI Profile along with additional information for Raiza Exantus, a provider established in Hollywood, Florida with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1013412097 assigned on March 2018. The practitioner's primary taxonomy code is 207SG0201X with license number ME0150530 (FL). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1013412097
Provider Name
RAIZA EXANTUS MD
Gender
Female
Entity Type
Individual
Location Address
1131 N 35TH AVE FL 2 HOLLYWOOD, FL 33021
Location Phone
(954) 265-6319
Location Fax
(954) 276-0166
Mailing Address
2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
Mailing Phone
(954) 276-5685
Mailing Fax
(954) 276-0166
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
03-29-2018
Last Update Date
05-01-2026
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Location Map

Secondary Locations

  • 4651 Sheridan St Ste 150
    Hollywood, FL 33021
    (954) 276-1550
  • 1971 SW 172nd Ave Fl 2
    Miramar, FL 33029
    (954) 265-6319

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medical Genetics Clinical Genetics (M.D.)

Taxonomy Code
207SG0201X
Type
Allopathic & Osteopathic Physicians
License No.
ME0150530
License State
FL
Taxonomy Description
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

ME0150530 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AvMed Entrust Bronze 600 (2026) - HMO
  • AvMed Entrust Bronze 650 (2026) - HMO
  • AvMed Entrust Expanded Bronze Standard (2026) - HMO
  • AvMed Entrust Gold 125 (2026) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
  • AvMed Entrust Gold Standard (2026) - HMO
  • AvMed Entrust Platinum 25 (2026) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
  • AvMed Entrust Platinum Standard (2026) - HMO
  • AvMed Entrust Silver 350 (2026) - HMO
  • AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver 550 (2026) - HMO
  • AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
  • AvMed Entrust Silver Standard (2026) - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Raiza Exantus is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Raiza Exantus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911253950

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250723003233

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013412097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 8 + 1 + 4 + 0 + 1 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1013412097.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Nephrology)
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Medical Genetics (Ph.D. Medical Genetics)
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Allergy & Immunology
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Medical Genetics (Clinical Genetics (M.D.))
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Medical Genetics (Clinical Genetics (M.D.))
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Dietitian, Registered
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Genetic Counselor, MS
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021
Dietitian, Registered
1131 N 35TH AVE FL 2
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013412097, enumerated as an "individual" on March 29, 2018.

The provider is located at 1131 N 35TH AVE FL 2 HOLLYWOOD, FL 33021 and the phone number is (954) 265-6319.

Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).

The provider might be accepting Accepts: AvMed and Oscar Health Maintenance Organization of. Please consult your insurance carrier or call the provider to verify.