SOUTH BROWARD HOSPITAL DISTRICT
NPI 1407865520
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Hollywood, FL
About South Broward Hospital District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BROWARD HOSPITAL DISTRICT (NPI 1407865520), doing business as Memorial Division Of Pediatric Orthopedics, is a healthcare organization registered as a pediatric orthopaedic surgery in Hollywood, Florida and active in the NPI registry since August 2006. The organization maintains 5 additional practice locations and lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation 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).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
471Medicare enrollment records show 471 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 340 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 33
Nearest to this location (20)
See all 471Hollywood, FL 33021
Hollywood, FL 33021
Hollywood, FL 33021
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 1407865520. It was assigned to this organization in the NPPES registry on August 7, 2006. The provider is doing business as Memorial Division of Pediatric Orthopedics.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 3440 Hollywood Blvd Ste 140, Hollywood, FL 33021. The listed phone number is (954) 265-6300.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.
Is South Broward Hospital District enrolled in Medicare?
Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.
When is South Broward Hospital District's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through South Broward Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 471 clinicians in 33 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 Nurse Practitioner (138), Critical Care (Intensivists) (48) and Internal Medicine (40). Of these, 2 practice at this address and 340 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 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 May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# South Broward Hospital District · NPI 1407865520
Pediatric Orthopaedic Surgery organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1407865520 (Entity type: Organization)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Orthopaedic Surgery - Pediatric Orthopaedic Surgery · taxonomy 207XP3100X
- **Also known as:** Memorial Division of Pediatric Orthopedics (Doing Business As)
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MPG, MPC AND UCC
## Practice location
- **Address:** 3440 HOLLYWOOD BLVD STE 140, Hollywood, FL 33021-6900
- **Phone:** (954) 265-6300 · **Fax:** (954) 961-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 471 clinicians in 33 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (138), Critical Care (Intensivists) (48), Internal Medicine (40); 2 practice at this address and 340 within 10 miles; [full list](https://npiprofile.com/npi/1407865520/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407865520) · Data from the CMS NPPES public registry.