MEMORIAL PRIMARY CARE-PALM SPRINGS NORTH
NPI 1144919259
General Practice in Hialeah, FL

Active since May 04, 2023CLIA 10D2279284 · Waiver
8649 NW 186TH ST, HIALEAH, FL 33015(305) 682-2666(954) 276-0094 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2023, May 4, 2023 (2 updates tracked since 2023).

About Memorial Primary Care-palm Springs North NPPES

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

MEMORIAL PRIMARY CARE-PALM SPRINGS NORTH (NPI 1144919259) is a healthcare organization registered as a general practice in Hialeah, Florida and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through March 30, 2027 and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1144919259
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address8649 NW 186TH STHialeah, FL 33015-2553
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7084
Fax(954) 276-0094
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateMay 4, 2023
Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1144919259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8649 NW 186TH ST, Hialeah, FL 33015

Other Names 1

Doing Business AsMemorial Primary Care-palm Springs North

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

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)

Memorial Primary Care-palm Springs North is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Memorial Primary Care-Palm Springs North, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1023326410
8649 NW 186TH ST
Hialeah, FL 33015
(954) 682-2666
✔ PECOSSame address
Internal Medicine
NPI 1851835656
17786 SW 2ND ST
Pembroke Pines, FL 33029
(954) 276-5552
✔ PECOS✔ Accepts Medicare5.0 mi
Internal Medicine
NPI 1265848873
2301 N UNIVERSITY DR STE 103
Pembroke Pines, FL 33024
(954) 276-1400
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1720553571
4105 PEMBROKE RD
Hollywood, FL 33021
(954) 593-2275
✔ PECOS✔ Accepts Medicare10 mi

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 10D2279284

Memorial Primary Care Palm Springs North · Hialeah, FL
Active · expires Mar 30, 2027
CLIA Number10D2279284
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorDr. Perla Del Pino-White
Laboratory Phone(305) 682-2666
Laboratory LocationMemorial Primary Care Palm Springs North8649 NW 186 St, Hialeah, FL 33015
CLIA data matches this NPI record on: Name 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 South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1144919259. It was assigned to this organization in the NPPES registry on May 4, 2023. The provider is doing business as Memorial Primary Care-Palm Springs North.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 8649 NW 186th St, Hialeah, FL 33015. The listed phone number is (305) 682-2666.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to South Broward Hospital District. 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. The largest specialties are Internal Medicine (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Broward Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2279284) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Broward Hospital District accept?

Health plans from 22 Health, AmeriHealth Caritas Next, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.