SOUTH BROWARD HOSPITAL DISTRICT
NPI 1194499863
Family Medicine in Miramar, FL

Active since August 05, 2021
1951 SW 172ND AVE STE 210, MIRAMAR, FL 33029(954) 265-2789 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Broward Hospital District NPPES

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

SOUTH BROWARD HOSPITAL DISTRICT (NPI 1194499863), doing business as Memorial Primary Care Miramar Mob, is a healthcare organization registered as a family medicine in Miramar, Florida and active in the NPI registry since August 2021. The organization lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.

NPPES Registry Identity

NPI1194499863
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address1951 SW 172ND AVE STE 210Miramar, FL 33029-5613
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc And Ucc · (954) 265-6677
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1194499863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1951 SW 172ND AVE STE 210, Miramar, FL 33029

Other Names 1

Doing Business AsMemorial Primary Care Miramar Mob

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)

South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1245449487
1951 SW 172ND AVE STE 210
Miramar, FL 33029
(954) 276-5552
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1689252165
703 N FLAMINGO RD
Pembroke Pines, FL 33028
(954) 436-5000
✔ PECOS✔ Accepts Medicare4.3 mi
Internal Medicine
NPI 1710914106
2950 CLEVELAND CLINIC BLVD DEPARTMENT OF INTERNAL MEDICINE
Weston, FL 33331
(954) 659-5867
✔ PECOS✔ Accepts Medicare6.4 mi
Family Practice
NPI 1689038838
950 S PINE ISLAND RD STE 180A
Plantation, FL 33324
(954) 276-5552
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1467864660
4105 PEMBROKE RD
Hollywood, FL 33021
(954) 276-5552
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1720553571
4105 PEMBROKE RD
Hollywood, FL 33021
(954) 593-2275
✔ PECOS✔ Accepts Medicare12 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 1194499863. It was assigned to this organization in the NPPES registry on August 5, 2021. The provider is doing business as Memorial Primary Care Miramar MOB.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 1951 SW 172nd Ave Ste 210, Miramar, FL 33029. The listed phone number is (954) 265-2789.

What is South Broward Hospital District's specialty?

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

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), 6 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 Family Practice (3), Internal Medicine (2) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. 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 Cigna HealthCare of Florida, Inc. and 2 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 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.