CONVENIENT PRACTITIONER SERVICES PA
NPI 1063656155
Family Medicine in Davie, FL

Q: What is Convenient Practitioner Services PA's NPI number?

The NPI number for Convenient Practitioner Services PA is 1063656155. It was assigned to this organization in the NPPES registry on April 21, 2009.

Q: What is Convenient Practitioner Services PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 21, 2009

10641 SW 37TH PL, DAVIE, FL 33328(954) 861-7522(954) 916-9436 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Convenient Practitioner Services Pa NPPES

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

CONVENIENT PRACTITIONER SERVICES PA (NPI 1063656155) is a healthcare organization registered as a family medicine in Davie, Florida and active in the NPI registry since April 2009. The organization lists Igdalis Roldan Christen, President, as its authorized official.

NPPES Registry Identity

NPI1063656155

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCONVENIENT PRACTITIONER SERVICES PA

Location Address10641 SW 37TH PLDavie, FL 33328-1310

Mailing Address10641 Sw 37th PlDavie, FL 33328-1310 · (954) 861-7522 · Fax (954) 916-9436

Phone(954) 861-7522

Fax(954) 916-9436

Organization SubpartNo

Authorized OfficialIgdalis Roldan ChristenPresident · (954) 861-7522

Enumeration DateApril 21, 2009

✔ NPI 1063656155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ARNP1737192

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP1737192 (FL)

10641 SW 37TH PL, Davie, FL 33328

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Other Identifiers 1

Medicare UPINS51924FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Convenient Practitioner Services Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Convenient Practitioner Services PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Igdalis Roldan, APRN

Nurse Practitioner

NPI 1629012885

1460 SW 67TH TER
Plantation, FL 33317

(954) 861-7522

✔ PECOS✔ Accepts Medicare3.8 mi

Eric Pantaleon, M.D.

Pediatric Medicine

NPI 1518997964

3107 W HALLANDALE BEACH BLVD STE 102
Hallandale, FL 33009

(786) 638-4747

✔ PECOS9.8 mi

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 Convenient Practitioner Services PA's NPI number?

The NPI number for Convenient Practitioner Services PA is 1063656155. It was assigned to this organization in the NPPES registry on April 21, 2009.

Where is Convenient Practitioner Services PA located?

Convenient Practitioner Services PA is located at 10641 SW 37th Pl, Davie, FL 33328. The listed phone number is (954) 861-7522.

What is Convenient Practitioner Services PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Convenient Practitioner Services PA enrolled in Medicare?

Yes. Convenient Practitioner Services PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Convenient Practitioner Services PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Convenient Practitioner Services PA, 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Convenient Practitioner Services PA was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.