MEMORIAL DIVISION OF VASCULAR SURGERY
NPI 1366785743
Surgery - Vascular Surgery in Hollywood, FL
NPI Status: Active since April 03, 2013
Contact Information
1150 N 35TH AVENUE
STE 460
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 265-4664
Fax: (954) 265-8373
- Organization
- Surgery
- Vascular Surgery
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 10D2298129
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-28-2028
About MEMORIAL DIVISION OF VASCULAR SURGERY
This page provides the complete NPI Profile along with additional information for Memorial Division Of Vascular Surgery, a provider established in Hollywood, Florida operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1366785743 assigned on April 2013. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Memorial Division Of Vascular Surgery. The authorized official of this NPI record is Esther Surujon (Cfo Mpg, Mpc And Ucc)
- NPI
- 1366785743
- Provider Legal Name
- SOUTH BROWARD HOSPITAL DISTRICT
- Other Organization Name
- MEMORIAL DIVISION OF VASCULAR SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1150 N 35TH AVENUE STE 460 HOLLYWOOD, FL 33021
- Location Phone
- (954) 265-4664
- Location Fax
- (954) 265-8373
- Mailing Address
- 2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
- Mailing Phone
- (954) 276-5685
- Mailing Fax
- (954) 265-8373
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-03-2013
- Last Update Date
- 07-13-2023
- Code Navigator
Memorial Division Of Vascular Surgery is a medicare supplier with PTAN 20347367 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Secondary Locations
- 2301 N University Dr Ste 211
Pembroke Pines, FL 33024
(954) 844-4664 - 1150 N 35th Ave Ste 440
Hollywood, FL 33021
(954) 265-4664 - 1951 SW 172nd Ave Ste 404
Miramar, FL 33029
(954) 264-4664 - 601 N Flamingo Rd Ste 202
Pembroke Pines, FL 33028
(954) 265-4664
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Access - HMO
- Molina Silver Access Plus with Adult Dental and Vision - HMO
- Molina Silver Access Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20347367
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2298129
- Facility Type
- Physician Office
- Certificate Effective Date
- January 29, 2026
- Certificate Expiration Date
- January 28, 2028
- Laboratory Director
- JONATHAN SILBERSTEIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Division Of Vascular Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MEMORIAL DIVISION OF VASCULAR SURGERY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366785743, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366785743, enumerated as an "organization" on April 03, 2013.
The provider is located at 1150 N 35TH AVENUE STE 460 HOLLYWOOD, FL 33021 and the phone number is (954) 265-4664.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: AmeriHealth Caritas Next and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
