SOUTH BROWARD HOSPITAL DISTRICT
NPI 1063013787
Pediatrics 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 1063013787), doing business as Memorial Division Of Pediatric Complex Care, is a healthcare organization registered as a pediatrics in Hollywood, Florida and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Miramar and lists Esther Surujon, Chief Financial Officer Mpg And 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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 South Broward Hospital District's NPI number?
The NPI number for South Broward Hospital District is 1063013787. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Memorial Division of Pediatric Complex Care.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 1005 Joe Dimaggio Dr Pediatrics Floor 4, Hollywood, FL 33021. The listed phone number is (954) 265-6331.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
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), 3 clinicians reassign their Medicare billing to South Broward Hospital District, in Nurse Practitioner and Pediatric Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Broward Hospital District accept?
Health plans from 22 Health, AmeriHealth Caritas Next and AvMed 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 October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 1063013787
Pediatrics organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since November 9, 2020.
## Identity
- **NPI:** 1063013787 (Entity type: Organization)
- **Enumerated:** November 9, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Also known as:** Memorial Division of Pediatric Complex Care (Doing Business As)
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CHIEF FINANCIAL OFFICER MPG AND MPC
## Practice location
- **Address:** 1005 JOE DIMAGGIO DR, PEDIATRICS FLOOR 4, Hollywood, FL 33021-5402
- **Phone:** (954) 265-6331 · **Fax:** (954) 893-6244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Pediatric Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063013787) · Data from the CMS NPPES public registry.