PROACTIVE MEDICAL GROUP LLC
NPI 1225765241
Internal Medicine in Fort Lauderdale, FL

Q: What is Proactive Medical Group LLC's NPI number?

The NPI number for Proactive Medical Group LLC is 1225765241. It was assigned to this organization in the NPPES registry on August 2, 2022.

Q: What is Proactive Medical Group LLC's specialty?

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

Active since August 02, 2022CLIA 10D2284785 · Waiver

5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308(954) 938-2843(954) 200-6689 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 1, 2024, Aug 2, 2022 (2 updates tracked since 2022).

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About Proactive Medical Group Llc NPPES

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

PROACTIVE MEDICAL GROUP LLC (NPI 1225765241) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Ricardo Alexander Zambrano, Owner, as its authorized official.

NPPES Registry Identity

NPI1225765241

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROACTIVE MEDICAL GROUP LLC

Location Address5353 N FEDERAL HWY STE 400Fort Lauderdale, FL 33308-3244

Mailing Address5353 N Federal Hwy Ste 400Fort Lauderdale, FL 33308-3244 · (954) 938-2843 · Fax (954) 200-6689

Phone(954) 938-2843

Fax(954) 200-6689

Organization SubpartNo

Authorized OfficialRicardo Alexander ZambranoOwner · (954) 938-2843

Enumeration DateAugust 2, 2022

Last NPPES UpdateJanuary 1, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2024

✔ NPI 1225765241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

5353 N FEDERAL HWY STE 400, Fort Lauderdale, FL 33308

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Other Identifiers 1

OtherU5083TX · Texas Medical License

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

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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)

Proactive Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Proactive Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Cevallos Yepez, M.D.

Internal Medicine

NPI 1922236736

5353 N FEDERAL HWY STE 400
Cape Coral, FL 33904

(239) 460-4494

✔ PECOS✔ Accepts Medicare109 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 10D2284785

Proactive Medical Group LLC · Fort Lauderdale, FL

Active · expires Jun 27, 2027

CLIA Number10D2284785

Laboratory TypePhysician Office

Certificate Effective DateJune 28, 2025

Certificate Expiration DateJune 27, 2027

Laboratory DirectorJose Gustavo Cevallos Yepez

Laboratory Phone(954) 938-2843

Laboratory LocationProactive Medical Group LLC5353 N Federal Highway, Suite 400, 406, Fort Lauderdale, FL 33308

CLIA data matches this NPI record on: Address 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 Proactive Medical Group LLC's NPI number?

The NPI number for Proactive Medical Group LLC is 1225765241. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Proactive Medical Group LLC located?

Proactive Medical Group LLC is located at 5353 N Federal Hwy Ste 400, Fort Lauderdale, FL 33308. The listed phone number is (954) 938-2843.

What is Proactive Medical Group LLC's specialty?

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

Is Proactive Medical Group LLC enrolled in Medicare?

Yes. Proactive Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Proactive Medical Group LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Proactive Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2284785) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Proactive Medical Group LLC accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Proactive Medical Group LLC 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 Proactive Medical Group LLC was last updated on January 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.