MANOR MEDICAL CENTER INC.
NPI 1114228368
Internal Medicine in Fort Lauderdale, FL

Active since November 04, 2010
1000 NW 10TH AVE, FORT LAUDERDALE, FL 33311(954) 728-9200(954) 728-8660 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manor Medical Center Inc. NPPES

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

MANOR MEDICAL CENTER INC. (NPI 1114228368) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since November 2010. The organization lists Yves Michel Antoine Jodesty, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1114228368
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMANOR MEDICAL CENTER INC.
Location Address1000 NW 10TH AVEFort Lauderdale, FL 33311-6137
Mailing Address1040 Nw 10th AveFort Lauderdale, FL 33311-6101 · (954) 728-9200 · Fax (954) 728-8660
Fax(954) 728-8660
Organization SubpartNo
Authorized OfficialYves Michel Antoine JodestyMedical Doctor · (954) 728-9200
Enumeration DateNovember 4, 2010
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1114228368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME49891
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1000 NW 10TH AVE, Fort Lauderdale, FL 33311

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manor Medical Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Manor Medical Center Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1093877631
1000 NW 10TH AVE
Fort Lauderdale, FL 33311
(954) 728-9200
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1801258140
1000 NW 10TH AVE
Fort Lauderdale, FL 33311
(954) 728-9200
✔ PECOS✔ Accepts Medicare1.8 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 Manor Medical Center Inc.'s NPI number?

The NPI number for Manor Medical Center Inc. is 1114228368. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Manor Medical Center Inc. located?

Manor Medical Center Inc. is located at 1000 NW 10th Ave, Fort Lauderdale, FL 33311. The listed phone number is (954) 728-9200.

What is Manor Medical Center Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manor Medical Center Inc. enrolled in Medicare?

Yes. Manor Medical Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Manor Medical Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Manor Medical Center Inc.. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Manor Medical Center Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and Wellpoint list Manor Medical Center Inc. 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 Manor Medical Center Inc. was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.