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MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY
NPI 1164911764
Internal Medicine - Interventional Cardiology in Hollywood, FL

Active since May 09, 2018
1150 N 35TH AVE STE 490, HOLLYWOOD, FL 33021(954) 265-3437(954) 983-5052 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2023, Apr 8, 2021, Mar 11, 2020 and 1 more (4 updates tracked since 2018).

About Memorial Division Of Pediatric Interventional Cardiology NPPES

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

MEMORIAL DIVISION OF PEDIATRIC INTERVENTIONAL CARDIOLOGY (NPI 1164911764) is a healthcare organization registered as an interventional cardiology in Hollywood, Florida and active in the NPI registry since May 2018. The organization maintains 3 additional practice locations and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1164911764
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1150 N 35TH AVE STE 490Hollywood, FL 33021-5423
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Phone(954) 265-3437
Fax(954) 983-5052
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateMay 9, 2018
Last NPPES UpdateAugust 31, 20234 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1164911764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
1150 N 35TH AVE STE 490, Hollywood, FL 33021
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Division Of Pediatric Interventional Cardiology

Secondary Practice Locations 3

Location 13501 Johnson St Fl 1Hollywood, FL 33021-5421 · Phone (954) 265-3437 · Fax (954) 265-3731
Location 21971 SW 172nd Ave Ste 500Miramar, FL 33029-5592 · Phone (954) 265-3437 · Fax (954) 265-3731
Location 33377 S State Road 7 Ste 100Wellington, FL 33449-8002 · Phone (954) 265-3437 · Fax (954) 265-3731

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

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.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 Division Of Pediatric Interventional Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Memorial Division Of Pediatric Interventional Cardiology, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Brian Boe, M.D.
Cardiovascular Disease (Cardiology)
NPI 1043452378
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOS✔ Accepts MedicareSame address
Kak Chen Chan, MD
Cardiovascular Disease (Cardiology)
NPI 1124103866
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOSSame address
Peter Guyon, MD
Interventional Cardiology
NPI 1205255510
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOSSame address
Orhan Kilinc, M.D.
Interventional Cardiology
NPI 1205101326
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOS✔ Accepts MedicareSame address
Larry Latson, MD
Cardiovascular Disease (Cardiology)
NPI 1366538027
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOSSame address
Ming-Lon Young, MD
Cardiac Surgery
NPI 1043245913
1150 N 35TH AVE STE 490
Hollywood, FL 33021
(954) 265-3437
✔ PECOSSame address
Thomas Forbes, MD
Cardiovascular Disease (Cardiology)
NPI 1538109020
CHILDRENS HOSPITAL MI CARDIOLOGY 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING
Detroit, MI 48201
(313) 966-8008
✔ PECOS✔ Accepts Medicare1,137 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 South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1164911764. It was assigned to this organization in the NPPES registry on May 9, 2018. The provider is doing business as Memorial Division Of Pediatric Interventional Cardiology.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1150 N 35th Ave Ste 490, Hollywood, FL 33021. The listed phone number is (954) 265-3437.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

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), 7 clinicians in 3 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 Cardiovascular Disease (Cardiology) (4), Interventional Cardiology (2) and Cardiac Surgery (1). Of these, 6 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, Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 3 other insurers 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 31, 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.